| Doctor Name: | DR. SHOMARKA OMAR KEITA |
| NPI Number: | 1700027844 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, DPHIL |
| License Number: | D0025173 |
| Business Practice Address: | 2700 Martin Luther King Ave Se St. Elizabeths Hospital, Dmh Washington, DC - 20032 |
| Business Phone Number: | 2026451076 |
| Business Fax Number: | |
| Mailing Address: | 2700 Martin Luther King Av. Se, St. Elizabeths Hospital, Dept. Mental Health, Hr WASHINGTON |
| State: | DC |
| Postal Code: | 20032 |
| Phone Number: | 2026451076 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2009 |
| NPI Last Update Date: | 03/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0025173 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |