Provider Demographics
NPI:1407590862
Name:AFFINITY HEALTH
Entity Type:Organization
Organization Name:AFFINITY HEALTH
Other - Org Name:AFFINITY HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:TCHUIGOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-683-0268
Mailing Address - Street 1:6323 GEORGIA AVE NW STE 104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1137
Mailing Address - Country:US
Mailing Address - Phone:202-683-0268
Mailing Address - Fax:202-723-4494
Practice Address - Street 1:6323 GEORGIA AVE NW STE 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1137
Practice Address - Country:US
Practice Address - Phone:202-683-0268
Practice Address - Fax:202-723-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty