Healthcare Provider Details

I. General information

NPI: 1437087657
Provider Name (Legal Business Name): MUSA KAMARA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 MISSISSIPPI AVE SE APT 103
WASHINGTON DC
20032-2420
US

IV. Provider business mailing address

213 MISSISSIPPI AVE SE APT 103
WASHINGTON DC
20032-2420
US

V. Phone/Fax

Practice location:
  • Phone: 773-412-4421
  • Fax:
Mailing address:
  • Phone: 773-412-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number0000814994
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: