# HOWARD UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOWARD UNIVERSITY
- **Other names:** Faculty Practice Plan
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740833722
- **Legal business name:** HOWARD UNIVERSITY
- **Authorized official:** TERRANCE FULLUM MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (202) 865-4132

## Contact information

- **Practice address:** 4414 BENNING RD NE FL 2, WASHINGTON, DC 20019-4555
- **Practice address phone:** (202) 865-2120
- **Mailing address:** 2041 GEORGIA AVE NW STE 3400, WASHINGTON, DC 20060-0001
- **Mailing address phone:** (202) 865-4132
- **Mailing address fax:** (202) 865-5018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019