Provider Demographics
NPI:1891586939
Name:AWAH, ERNEST AMAH
Entity type:Individual
Prefix:
First Name:ERNEST AMAH
Middle Name:
Last Name:AWAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 RIGGS RD APT 9
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4565
Mailing Address - Country:US
Mailing Address - Phone:202-971-5310
Mailing Address - Fax:
Practice Address - Street 1:7955 RIGGS RD APT 9
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4565
Practice Address - Country:US
Practice Address - Phone:202-971-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00225955251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care