Organization
EAGLE MEDICAL
Active
Other names
EAGLE MEDICAL,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIMA DEREK EKPE (PARTNER/DIRECTOR)
(202) 639-0250
Entity
Organization
Contact information
Practice address
635 FLORIDA AVE NW, WASHINGTON, DC 20001-1875
(202) 639-0250
(202) 639-0251
Mailing address
635 FLORIDA AVE NW, WASHINGTON, DC 20001-1875
(202) 639-0250
(202) 639-0251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014868700
—
MD
05
—
038503600
—
DC
05
—
1396834321
—
VA
Enumeration date
10/11/2006
Last updated
06/14/2017
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