Provider Demographics
NPI:1841049129
Name:DIANA NJAMBI KAMAU
Entity type:Organization
Organization Name:DIANA NJAMBI KAMAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INVESTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-326-8722
Mailing Address - Street 1:2511 CEDAR FOREST WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-1100
Mailing Address - Country:US
Mailing Address - Phone:984-326-8872
Mailing Address - Fax:
Practice Address - Street 1:2511 CEDAR FOREST WAY APT 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-1100
Practice Address - Country:US
Practice Address - Phone:984-326-8872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No332S00000XSuppliersHearing Aid Equipment
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)