Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MD |
NPI | 1003371683 |
---|---|
Provider Name | Omar Ka |
First Address | Silver Spring, MD 20904-4667 |
Second Address | Washington, DC 20032-4046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2019 |
Last Update Date | 07/02/2019 |