Individual
DR. EMMANUEL A ATIEMO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 STAMP RD, TEMPLE HILLS, MD 20748-6728
(301) 423-5494
(301) 423-0154
Mailing address
PO BOX 1400, FAIRFAX, VA 22038-1400
(703) 383-9543
(703) 383-9532
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M12927
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04970001
DC CAREFIRST
DC
Enumeration date
05/09/2006
Last updated
07/09/2007
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