Benning Road Primary Care Pc

LBN: Benning Road Primary Care Pc
Benning Road Primary Care Pc is an health care organization with primary practice located at 1647 Benning Rd Ne Suite 304, Washington DC 20002-4569. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Benning Road Primary Care Pc can be contacted via phone (202) 397-2200, or through Kalokoh, Ismail Mustapha via phone (202) 397-2200.

Contact Information

Primary practice address
1647 Benning Rd Ne Suite 304 Washington DC 20002-4569
Phone: (202) 397-2200
Fax: (202) 397-2688
Website:
Map and Directions
Authorized official contact:
Name: Kalokoh, Ismail Mustapha Doctor of Medicine (MD)
Phone: (202) 397-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21581 District of Columbia

Profile Details

NPI number 1518230515
LBN Legal business name Benning Road Primary Care Pc
DBA Doing business as
Authorized official Kalokoh, Ismail Mustapha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2012
Last updated Feb 22nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518230515 NPPES
District of Columbia MEDICAID 017134100

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