Healthcare Provider Details

I. General information

NPI: 1326896929
Provider Name (Legal Business Name): SARRAH AHMED MOHAMMED FADUL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 01/31/2025
Certification Date:
Deactivation Date: 01/10/2025
Reactivation Date: 01/16/2025

III. Provider practice location address

2041 GEORGIA AVE NW HOWARD UNIVERSITY HOSPITAL PATHOLOGY DEPARTMENT
WASHINGTON DC
20060
US

IV. Provider business mailing address

2041 GEORGIA AVE NW HOWARD UNIVERSITY HOSPITAL PATHOLOGY DEPARTMENT
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax:
Mailing address:
  • Phone: 202-865-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: