Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | D83081 | MD |
NPI | 1043553464 |
---|---|
Provider Name | Deidre Janelle Ammah |
First Address | Bethesda, MD 20814-3202 |
Second Address | Bethesda, MD 20814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 11/10/2019 |