Provider Demographics
NPI:1215325063
Name:NAMATA, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:NAMATA
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 1:8703 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3918
Mailing Address - Country:US
Mailing Address - Phone:240-615-6427
Mailing Address - Fax:
Practice Address - Street 1:8703 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3918
Practice Address - Country:US
Practice Address - Phone:240-615-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide