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NPI Code Detail

MEDICARE: DR. AWUNGJIA CAMERICA LEKE-TAMBO M.D.

MEDICARE: DR. AWUNGJIA CAMERICA LEKE-TAMBO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianMD493238PA
2207RC0200XCritical Care Medicine (Internal Medicine) Physician33964MS
3207R00000XInternal Medicine Physician067803GA
4207RC0200XCritical Care Medicine (Internal Medicine) Physician25IA12381000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2067803OTHERGALICENSE
325IA12381000OTHERNJLICENSE
433964OTHERMSLICENSE

General Provider Information

NPI Number : 1134365810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AWUNGJIA CAMERICA LEKE-TAMBO M.D.
Provider Business Mailing Address
First Line : 1498 PACIFIC AVE STE 500
Second Line :
City : TACOMA
State : WA
Zip : 98402-4210
Country : US
Telephone Number : 844-546-5287
Fax Number : 706-353-0636
Provider Business Practice Location Address
First Line : 921 GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2501
Country : US
Telephone Number : 713-242-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2008
Last Update Date : 05/28/2026

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