Provider Demographics
NPI:1831689124
Name:MOENG, LETUMILE RODGERS (MD)
Entity type:Individual
Prefix:DR
First Name:LETUMILE
Middle Name:RODGERS
Last Name:MOENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE HOWARD UNIVERSITY HOSPITAL NW 5C-26
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0002
Mailing Address - Country:US
Mailing Address - Phone:202-865-1924
Mailing Address - Fax:202-865-7199
Practice Address - Street 1:2041 GEORGIA AVE HOWARD UNIVERSITY HOSPITAL NW 5C-26
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0002
Practice Address - Country:US
Practice Address - Phone:202-865-1924
Practice Address - Fax:202-865-7199
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2019-01-31
Deactivation Date:2019-01-09
Deactivation Code:
Reactivation Date:2019-01-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program