Healthcare Provider Details

I. General information

NPI: 1477461200
Provider Name (Legal Business Name): NAOMI BENEYAM PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

IV. Provider business mailing address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-265-2400
  • Fax:
Mailing address:
  • Phone: 202-265-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200002629
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: