Keita, Shomarka Omar

Keita, Shomarka Omar is an sole proprietor health care provider with primary practice located at 2700 Martin Luther King Ave Se St. Elizabeths Hospital, Dmh, Washington DC 20032. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Keita, Shomarka Omar can be contacted via phone (202) 645-1076.

Contact Information

Primary practice address
2700 Martin Luther King Ave Se St. Elizabeths Hospital, Dmh Washington DC 20032
Phone: (202) 645-1076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD18079 District of Columbia
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0025173 Maryland

Profile Details

NPI number 1700027844
LBN Legal business name Keita, Shomarka Omar
Credentials MD, DPHIL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2009
Last updated Mar 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700027844 NPPES
District of Columbia MEDICAID 017206200

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