Healthcare Provider Details
I. General information
NPI: 1760641807
Provider Name (Legal Business Name): HOWARD UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2008
Last Update Date: 06/04/2008
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
2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US
V. Phone/Fax
- Phone: 202-865-6100
- Fax: 202-865-3131
- Phone: 202-865-6100
- Fax: 202-865-3131
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: DR.
FARID
QURAISHI
Title or Position: RESIDENT
Credential: DPM
Phone: 202-865-6100