Provider Demographics
NPI:1902110588
Name:HOWARD UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:HOWARD UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:POST GRADUATE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VINITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-775-4178
Mailing Address - Street 1:8715 1ST AVE
Mailing Address - Street 2:905 D GEORGIA APARTMENT
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3556
Mailing Address - Country:US
Mailing Address - Phone:917-775-4178
Mailing Address - Fax:
Practice Address - Street 1:8715 1ST AVE
Practice Address - Street 2:905 D GEORGIA APARTMENT
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3556
Practice Address - Country:US
Practice Address - Phone:917-775-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization