Healthcare Provider Details

I. General information

NPI: 1669262473
Provider Name (Legal Business Name): AMANI K. NOFAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING STREET NW DEPARTMENT OF INTERNAL MEDICINE
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING STREET NW MEDSTAR WASHINGTON HOSPITAL CENTER
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2835
  • Fax: 202-877-8288
Mailing address:
  • Phone: 202-877-8271
  • Fax: 202-877-6292

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: