Healthcare Provider Details

I. General information

NPI: 1083092431
Provider Name (Legal Business Name): NATIONAL MINORITY AIDS COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 13TH ST NW
WASHINGTON DC
20009-4432
US

IV. Provider business mailing address

1931 13TH ST NW
WASHINGTON DC
20009-4432
US

V. Phone/Fax

Practice location:
  • Phone: 202-483-6622
  • Fax:
Mailing address:
  • Phone: 202-483-6622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL KAWATA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 202-483-6622