Healthcare Provider Details

I. General information

NPI: 1740023043
Provider Name (Legal Business Name): LINDA UZO AMARA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA UZO ODO MD

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 01/31/2025
Certification Date:
Deactivation Date: 01/17/2025
Reactivation Date: 01/31/2025

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060
US

IV. Provider business mailing address

2041 GEORGIA AVE NW
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax: 202-745-3731
Mailing address:
  • Phone: 202-865-6100
  • Fax: 202-745-3731

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: