Provider Demographics
NPI:1700440617
Name:BENN, GREGORY ANDREW (MD, MBBS)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:ANDREW
Last Name:BENN
Suffix:
Gender:M
Credentials:MD, MBBS
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Mailing Address - Street 1:HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-6100
Mailing Address - Fax:202-745-3731
Practice Address - Street 1:1453 E BERT KOUNS INDUSTRIAL LOOP
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-618-4500
Practice Address - Fax:202-745-3731
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2023-02-06
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Provider Licenses
StateLicense IDTaxonomies
LA333696207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine