Individual
DR. SHOMARKA OMAR KEITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DPHIL
Contact information
Practice address
2700 MARTIN LUTHER KING AVE SE, ST. ELIZABETHS HOSPITAL, DMH, WASHINGTON, DC 20032
(202) 645-1076
Mailing address
2700 MARTIN LUTHER KING AV. SE, ST. ELIZABETHS HOSPITAL, DEPT. MENTAL HEALTH, HR, WASHINGTON, DC 20032
(202) 645-1076
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
D0025173
MD
208D00000X
General Practice Physician
Primary
MD18079
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017206200
—
DC
Enumeration date
03/19/2009
Last updated
03/19/2009
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