DEANDRA UJU MOMAH
Student in an Organized Health Care Education/Training Program

Address: 330 Brookline Ave # Yamins2, Boston, MA 02215-5400

DEANDRA UJU MOMAH (NPI# 1790362291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790362291
Entity Type Individual
Full Name DEANDRA UJU MOMAH
Gender Female
Practice Address 330 Brookline Ave # Yamins2
Boston
MA 02215-5400
Practice Telephone 6176675086
Mailing Address 330 Brookline Ave
Boston
MA 02215-5400
Certification Date 2021-03-29
Enumeration Date 2021-03-29
Last Update Date 2021-03-29
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 330 BROOKLINE AVE # YAMINS2
City BOSTON
State MA
Zip Code 02215-5400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063920742 Margaret E. Van Wyk Social Worker 330 Brookline Ave Dept Rose223, Boston, MA 02215-5400 2018-01-17
1134609068 Ramy Karam Radiology - Body Imaging 330 Brookline Ave # 231, Boston, MA 02215-5400 2018-08-20
1114436151 Mohammad-Hossein Mohammad-Shahi Ophthalmology 330 Brookline Ave # Cc522, Boston, MA 02215-5400 2017-09-21
1568977205 Kathryn Weatherford Dietitian, Registered 330 Brookline Ave # Rabbb06, Boston, MA 02215-5400 2017-12-04
1326544560 Justin Gillis Student in an Organized Health Care Education/Training Program 330 Brookline Ave # 407, Boston, MA 02215-5400 2018-04-05
1821604570 Yarab Mubarak Habib Al Bulushi Radiology - Diagnostic Radiology 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 2020-09-18
1588161756 Nathaniel Isaac Sugiyama Student in an Organized Health Care Education/Training Program 330 Brookline Ave # Fd221, Boston, MA 02215-5400 2018-04-12
1083174916 Elizabeth Greenwald Student in an Organized Health Care Education/Training Program 330 Brookline Ave # Rabb2, Boston, MA 02215-5400 2019-03-25
1336768340 Daniela Riveros Acosta Student in an Organized Health Care Education/Training Program 330 Brookline Ave # Dana780, Boston, MA 02215-5400 2020-04-09
1639712060 Elizabeth Gina Hayden Nurse Practitioner - Acute Care 330 Brookline Ave # Baker304, Boston, MA 02215-5400 2019-10-17
Find all in zip 02215-5400

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1063973238 Leo Po Lin Wu Student in an Organized Health Care Education/Training Program 330 Brookline Ave Rm Es101, Boston, MA 02215 2019-03-28
1578023644 Jordana Muroff Social Worker - Clinical 264 Bay State Road, Bussw, Boston, MA 02215 2019-03-23
1790270239 Rahul Gujrathi Radiology - Diagnostic Radiology 450 Brookline Ave Dana-Farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 2018-06-27
1619595105 Natasha Larocque Radiology - Diagnostic Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1821653684 Nicola Marie Hughes Student in an Organized Health Care Education/Training Program Dana-Farber Cancer Institute, 450, Brookline Ave Radiology Department, Boston, MA 02215 2019-05-07
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
1093276313 Kapil Andrew Kapoor Student in an Organized Health Care Education/Training Program 110 Francis St Suite Gb, Boston, MA 02215 2019-03-28
1013401165 Kamila Moskowitzova Student in an Organized Health Care Education/Training Program 110 Francis St Ste 9b, Boston, MA 02215 2018-06-20
1306495924 Anthony Rosellini Psychologist - Clinical 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
Find all in zip 02215

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285218156 Michelle Annette Crowley Student in an Organized Health Care Education/Training Program 755 Washington Street, Boston, MA 02111 2021-05-07
1720661150 Michelle Ngeouyang Student in an Organized Health Care Education/Training Program 136 Harrison Ave., M&v Suite 207, Boston, MA 02111 2021-05-03
1811570757 Nandan Padmanbha · Nandan P Student in an Organized Health Care Education/Training Program 330 Brookline Ave Rm Es112, Boston, MA 02215-5400 2021-04-29
1548842768 Santiago Krumm Cabezas Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2021-04-27
1922680396 Hassan Beesley Student in an Organized Health Care Education/Training Program 9 Symphony Rd Apt 1, Boston, MA 02115-4004 2021-04-26
1356923916 Catherine Pulles Student in an Organized Health Care Education/Training Program 136 Harrison Avenue, M&v Suite 207, Boston, MA 02111 2021-04-23
1376125047 Robert J Toy Jr. Student in an Organized Health Care Education/Training Program 750 Albany Street, Power Plant Building, Floor 2r, Boston, MA 02118 2021-04-22
1154902757 Muhammad Ibrahim Akbar · Abraham Akbar Student in an Organized Health Care Education/Training Program 55 Fruit St # 2622, Boston, MA 02114-2621 2021-04-16
1417538117 Kennedy Zaccheo Student in an Organized Health Care Education/Training Program 265 Clarendon St Apt 4, Boston, MA 02116-2012 2021-04-15
1699355461 Ajisa Liti Student in an Organized Health Care Education/Training Program 1340 Boylston St Fl 6, Boston, MA 02215-4302 2021-04-14
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.