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BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC NPI 1427388545


NPI Information

NPI: 1427388545
Provider Name: BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 09D0972341

Address:
1647 BENNING RD NE
SUITE 304
WASHINGTON, DC
ZIP 20002
Phone: (202) 397-2200
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BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC is an internal medicine in Washington, DC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC NPI is 1427388545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1647 BENNING RD NE
SUITE 304
WASHINGTON, DC
ZIP 20002-569
Phone: (202) 397-2200
Fax: (202) 397-2688

The provider's authorized official is Ismail Mustapha Kalokoh .
The authorized official title is Ceo and has the following contact phone number (202) 397-2200.

The CLIA number assigned to this NPI record is 09D0972341 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2010 and was last updated on 1/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineD0047927MARYLANDNo
2207R00000XInternal MedicineMD21581DISTRICT OF COLUMBIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1024304300MEDICAIDMARYLAND
2G74179MEDICARE UPINMARYLAND
3017134100MEDICAIDDISTRICT 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.