Healthcare Provider Details

I. General information

NPI: 1871807461
Provider Name (Legal Business Name): EMIL SAMIR MUSA OWEIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

110 IRVING ST NW RM BH-26
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7227
  • Fax:
Mailing address:
  • Phone: 202-877-7856
  • Fax: 202-291-0386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD041751
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number041751
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: