Provider Demographics
NPI:1588306856
Name:OMIRE-MAYOR, DIANNEMARIE TORITSEJU (MD)
Entity type:Individual
Prefix:
First Name:DIANNEMARIE
Middle Name:TORITSEJU
Last Name:OMIRE-MAYOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-5022
Mailing Address - Fax:202-444-7987
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-3536
Practice Address - Fax:202-877-3699
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program