Basic Information
Provider Information
NPI: 1487072740
EntityType: 2
ReplacementNPI:  
OrganizationName: HOWARD UNIVERSITY HOSPITAL
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 2041 GEORGIA AVE NW
Address2: HOWARD UNIVERSITY HOSPITAL
City: WASHINGTON
State: DC
PostalCode: 200600001
CountryCode: US
TelephoneNumber: 2028656100
FaxNumber:  
Practice Location
Address1: HOWARD UNIVERSITY HOSPITAL
Address2: 2041 GEORGIA AVE, NW
City: WASHINGTON
State: DC
PostalCode: 200600001
CountryCode: US
TelephoneNumber: 2028656100
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2014
LastUpdateDate: 04/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SHAMTE
AuthorizedOfficialFirstName: HABIB
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: MEDICAL DOCTOR
AuthorizedOfficialTelephone: 6155891763
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC0060X  Y HospitalsGeneral Acute Care HospitalCritical Access

No ID Information.


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