Provider Demographics
NPI:1619521051
Name:DIOMI, PIERRE MAWESA JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:MAWESA
Last Name:DIOMI
Suffix:JR
Gender:M
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:PO BOX 8611
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20907-8611
Mailing Address - Country:US
Mailing Address - Phone:202-763-0897
Mailing Address - Fax:
Practice Address - Street 1:10076 DUMFRIES ROAD #80A
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-424-9911
Practice Address - Fax:888-814-0934
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-24
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268945208D00000X, 207Q00000X
PR21490208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice