Provider Demographics
NPI:1912574070
Name:AL-ADAMAT, ALA MOHAMAD AWAD (MD)
Entity type:Individual
Prefix:DR
First Name:ALA
Middle Name:MOHAMAD AWAD
Last Name:AL-ADAMAT
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 1:3800 RESERVOIR RD NW FL PHC6
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-6200
Mailing Address - Fax:
Practice Address - Street 1:3800 RESERVOIR RD NW FL PHC6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2025-10-01
Deactivation Date:2022-11-30
Deactivation Code:
Reactivation Date:2022-12-19
Provider Licenses
StateLicense IDTaxonomies
DCMD500003245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine