Provider Demographics
NPI:1588127039
Name:FERNANDEZ, KAMILAH ANIKA TRICIA (MD)
Entity type:Individual
Prefix:MS
First Name:KAMILAH
Middle Name:ANIKA TRICIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE, NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON DC
Mailing Address - State:WA
Mailing Address - Zip Code:20060
Mailing Address - Country:US
Mailing Address - Phone:202-865-6100
Mailing Address - Fax:
Practice Address - Street 1:HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE, NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON DC
Practice Address - State:WA
Practice Address - Zip Code:20060
Practice Address - Country:US
Practice Address - Phone:202-865-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program