Healthcare Provider Details

I. General information

NPI: 1124759162
Provider Name (Legal Business Name): ALFRED PAAPA CHINBUAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW STE 2A38M
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

110 IRVING ST NW STE 2A38M
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-4677
  • Fax:
Mailing address:
  • Phone: 202-877-4677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0102618
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: