Provider Demographics
NPI:1154319119
Name:KAMARA, FEREMUSU N (MD)
Entity Type:Individual
Prefix:
First Name:FEREMUSU
Middle Name:N
Last Name:KAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW STE 3400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-378-8185
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-1307
Practice Address - Country:US
Practice Address - Phone:202-378-8185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036487207Q00000X
MDD0074811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC069328200Medicaid
GA147129773AMedicaid
GA000471809BMedicaid
GA000467519AMedicaid
GA147129773BMedicaid
GA000471809AMedicaid
GA000471809BMedicaid
GA147129773AMedicaid
GA147129773BMedicaid
GA147129773CMedicaid
I37368Medicare UPIN
GA000467519AMedicaid
GA000471809AMedicaid
GA000471809CMedicaid
GA000471809BMedicaid