Healthcare Provider Details
I. General information
NPI: 1003473281
Provider Name (Legal Business Name): HOWARD UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2019
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2041 GEORGIA AVENUE NW 5B HUH HOSPITAL
WASHINGTON DC
20060-1708
US
IV. Provider business mailing address
2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US
V. Phone/Fax
- Phone: 202-865-6611
- Fax:
- Phone: 202-865-4132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBIN
MARIE
MILLER
Title or Position: DIRECTOR, CLINICAL OPERATIONS
Credential:
Phone: 202-341-9434