NPI

Mawussi Komi

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2016-05-05
Last updated
2016-05-25

Specialties

Licenses

License VA
0024173467

Location

Practice location
6271 Drew Dr
City
Va Beach VA
Postal code
23464
Phone
(757) 214-3333

Organization contact

Name
MARTHA KELLEY
Title
administrator
Phone
7575962762

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Va Beach, VA. 178 records in the public file.

Removal request

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