| Convenient Clinic | |
|
1140 Varnum St Ne Ste 201 Washington DC 20017-2105 | |
| (202) 902-7667 | |
| (301) 889-9996 |
| Full Name | Convenient Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1140 Varnum St Ne Ste 201, Washington, District Of Columbia |
| Authorized Official Name and Position | Kumapley Kofi Lartevi (OWNER) |
| Authorized Official Contact | 2024894146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Clinic 1140 Varnum St Ne Ste 201 Washington DC 20017-2105 Ph: (202) 902-7667 | Convenient Clinic 1140 Varnum St Ne Ste 201 Washington DC 20017-2105 Ph: (202) 902-7667 |
| NPI Number | 1922690619 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/15/2021 |
| Medicare PECOS PAC ID | 6507272200 |
|---|---|
| Medicare Enrollment ID | O20210303003411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922690619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kumapley Kofi Lartevi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902037336 PECOS PAC ID: 1456506377 Enrollment ID: I20131217000267 |
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