Organization
ELITE MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA UDEMGBA MD (OWNER, CHIEF CLINICAL OFFICER)
(202) 642-9233
Entity
Organization
Contact information
Practice address
715 H ST NE, SUITE 2569, WASHINGTON, DC 20002
(202) 642-9233
Mailing address
715 H ST NE, SUITE 2569, WASHINGTON, DC 20002
(202) 642-9233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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