MISS PRISCILLA DOREEN MOMOH BSC NPI 1912218819

NPI Information

NPI: 1912218819
Provider Name: MISS PRISCILLA DOREEN MOMOH, BSC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1949 4TH ST NE
WASHINGTON, DC
ZIP 20002
Phone: (202) 462-7500
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MISS Priscilla Doreen Momoh, BSC is a medical physician assistant in Washington, DC. MISS Priscilla Doreen Momoh, BSC NPI is 1912218819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1949 4TH ST NE
WASHINGTON, DC
ZIP 20002-211
Phone: (202) 462-7500
Fax: (202) 462-2309

The enumeration date for this NPI number is 6/24/2010 and was last updated on 6/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C0002552	MARYLAND	No
2	363AM0700X	Physician Assistant	Medical	PA30224	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	037410900	MEDICAID	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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