Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOMODU A JACK, M.D.
Active Sole ProprietorMOMODU A JACK, M.D. is a Gastroenterology healthcare provider located in WASHINGTON, Washington D.C.. NPI 1164521019 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · WASHINGTON, DC
Registration Details
- NPI Number
- 1164521019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.916818213777 yrs)
- Last Updated
- Nov 6, 2020
- Licenses
-
D0044035 (MD)0101270422 (VA)MD20286 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2139 GEORGIA AVE NWSUITE 3AWASHINGTON, DC, 200013035Browse DC providers · Browse ZIP 20001
- Phone
- 2028657981
- Fax
- 3016215313
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| STANLEY BERNARD BENJAMIN | — | 1336147297 |
| JOHN EDWARD CARROLL | — | 1770581837 |
| NADIM HADDAD | — | 1649278441 |
| DR. BRIAN M KIRSH | MD | 1871592493 |
| JAMES LEWIS | — | 1396745212 |
| DR. LINDSAY JONES BARNES | MD | 1265425870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.