Provider Demographics
NPI:1518194760
Name:FAKIYA, MORAYO IRENE (MD)
Entity type:Individual
Prefix:DR
First Name:MORAYO
Middle Name:IRENE
Last Name:FAKIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2024 GEORGIA NWAVE 2ND
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3027
Mailing Address - Country:US
Mailing Address - Phone:202-865-6679
Mailing Address - Fax:202-865-1617
Practice Address - Street 1:2041 GEORGIA NWAVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-2356
Practice Address - Fax:202-865-7853
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0088331207R00000X
DCMD041046207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine