Healthcare Provider Details

I. General information

NPI: 1316826100
Provider Name (Legal Business Name): NDEYE ROKHAYA DIOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

8335 SNOWDEN OAKS PL
LAUREL MD
20708-2315
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8107
  • Fax:
Mailing address:
  • Phone: 443-603-7611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberR191137
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: