Provider Demographics
NPI:1972757680
Name:AKWAR, PHILIP ATAJUH (RN)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:ATAJUH
Last Name:AKWAR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 13TH PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3106
Mailing Address - Country:US
Mailing Address - Phone:240-501-6161
Mailing Address - Fax:
Practice Address - Street 1:4717 13TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3106
Practice Address - Country:US
Practice Address - Phone:240-501-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN59861163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health