Healthcare Provider Details
I. General information
NPI: 1235393893
Provider Name (Legal Business Name): HOWARD UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2008
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US
IV. Provider business mailing address
8508 16TH ST 305
SILVER SPRING MD
20910-2969
US
V. Phone/Fax
- Phone: 202-865-1656
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHEKWONUGAZA
ABOKI
Title or Position: RESIDENT
Credential: DPM
Phone: 202-865-1656