Individual
NNEMDI KAMANU ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 PENNSYLVANIA AVE NW # 131, WASHINGTON, DC 20006-1811
(202) 607-0864
Mailing address
2020 PENNSYLVANIA AVENUE NW #131, WASHINGTON, DC 20006
(202) 607-0864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A75516
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
0101251183
VA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
D73518
MD
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD-50298
IA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD037861
DC
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD445404
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A755160
—
CA
Enumeration date
07/24/2007
Last updated
08/15/2023
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