Provider Demographics
NPI:1558530162
Name:JOHN-SOWAH, JOYLENE IRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYLENE
Middle Name:IRIS
Last Name:JOHN-SOWAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOYLENE
Other - Middle Name:IRIS
Other - Last Name:JOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:31 CENTER DR S
Mailing Address - Street 2:SUITE 4A11
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-1051
Mailing Address - Fax:
Practice Address - Street 1:31 CENTER DR S
Practice Address - Street 2:SUITE 4A11
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-1051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052523207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine