Moimusa Ahmadu, ATC

Key facts

NPI

1679965651

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

Practice address

1230 31St St NW
Washington, DC 20007-3400

Phone

(202) 609-2428

NPI assigned

Feb 26, 2015

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2015.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1679965651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 UTAH AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152436",
            "telephone_number": "202-609-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 31ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073400",
            "telephone_number": "202-609-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADU",
        "first_name": "MOIMUSA",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

• Sarmad Ahmad, PHARMD
• Shahzad Ahmad, MD
• Usman Ahmad, DDS
• Yasmeen Ahmad
• Nahid Ahmadi, D.D.S.
• Sunju Ahmadu
• Homa Khorrami Ahmadzia, M.D. M.P.H.
• Annaya Ahmand
• Basel Mohammed Hijazi Ahmaro, M.D.
• Sarrah Ahmed Mohammed Fadul, M.D.

All providers in Washington, DC · Athletic Trainer in District of Columbia