Healthcare Provider Details

I. General information

NPI: 1245873231
Provider Name (Legal Business Name): AMERICAN HEALTHCARE PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 6TH PL NE
WASHINGTON DC
20017-2204
US

IV. Provider business mailing address

4501 6TH PL NE
WASHINGTON DC
20017-2204
US

V. Phone/Fax

Practice location:
  • Phone: 202-704-1090
  • Fax:
Mailing address:
  • Phone: 202-704-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHUS OLUMIDE IDOWU
Title or Position: CHIEF OPERATING OFFICER
Credential: RN
Phone: 202-704-1090