Provider Demographics
NPI:1376961920
Name:TURAY, MAMUD MOMOH
Entity Type:Individual
Prefix:
First Name:MAMUD
Middle Name:MOMOH
Last Name:TURAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 K ST NW
Mailing Address - Street 2:7 FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2500
Mailing Address - Country:US
Mailing Address - Phone:202-293-2931
Mailing Address - Fax:202-293-3480
Practice Address - Street 1:1420 K ST NW
Practice Address - Street 2:7 FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2500
Practice Address - Country:US
Practice Address - Phone:202-293-2931
Practice Address - Fax:202-293-3480
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC8972374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide