Provider Demographics
NPI:1720011224
Name:EDOO-SOWAH, ROMA (MD)
Entity Type:Individual
Prefix:
First Name:ROMA
Middle Name:
Last Name:EDOO-SOWAH
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 1:6845 ELM ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-6007
Mailing Address - Country:US
Mailing Address - Phone:703-848-8500
Mailing Address - Fax:
Practice Address - Street 1:6845 ELM ST STE 710
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3851
Practice Address - Country:US
Practice Address - Phone:703-848-8500
Practice Address - Fax:703-893-1946
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33752207RG0300X
VA0101234911207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine