Provider Demographics
NPI:1023466950
Name:OTENG, EUGENE KOJO (MD, PH D)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:KOJO
Last Name:OTENG
Suffix:
Gender:M
Credentials:MD, PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11101 GEORGIA AVE UNIT 448
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-7618
Mailing Address - Country:US
Mailing Address - Phone:571-276-9037
Mailing Address - Fax:
Practice Address - Street 1:HOWARD UNIVERISTY HOSPITAL
Practice Address - Street 2:2041 GEORGIA AVE NW,
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059
Practice Address - Country:US
Practice Address - Phone:202-865-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1255207P00000X
MEMD24774207P00000X
OH35.136555207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine