Healthcare Provider Details

I. General information

NPI: 1801687793
Provider Name (Legal Business Name): AMARACHI PRISCA OHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE, NW STE B600
WASHINGTON DC
20060
US

IV. Provider business mailing address

20, AKINWALE SHITTU DIVINE HOMES AT THOMAS ESTATE, AJAH
LAGOS LAGOS STATE
106104
NG

V. Phone/Fax

Practice location:
  • Phone: 202-865-1481
  • Fax: 202-865-4189
Mailing address:
  • Phone:
  • 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: