Active NPIIndividual provider

Dr. Khama D Ennis, MD, MPH

Emergency Medicine in Amherst, Massachusetts

NPI Number1669453973
Practice location
150 Infirmary Way, Amherst, MA 01003-9288
Fax
—
Last updated
August 28, 2024

Khama D Ennis is an Emergency Medicine based in Amherst, MA. Khama D Ennis practices in Amherst, MA and has the professional credentials of MD, MPH. The NPI Number for Khama D Ennis is 1669453973 and holds a License No. 223355 (MA). The current practice location address for Khama D Ennis is 150 Infirmary Way, Amherst, MA 01003-9288 and can be reached out via phone at 413-577-5152.

Provider Profile Details

NPI Number
1669453973
Provider Name
Khama D Ennis
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Female
Address
150 Infirmary Way, Amherst, MA 01003-9288
Phone Number
413-577-5152
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Other Names
Dr. Khama D Ennis-Holcombe, MD, MPH (Former Name)
Provider Enumeration Date
November 14, 2005
Last Update Date
August 28, 2024
Certification Date
August 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Infirmary Way
Amherst, MA 01003-9288
Zip
01003-9288
Phone Number
413-577-5152
Amherst, MA 01003Get directions →

Provider Business Mailing Address Details

Address
26 S Prospect St Ste 7
Amherst, MA 01002-2268
City
Amherst
State
MA
Zip
01002-2268
Phone Number
413-800-6968

License Information

License Number
223355
License State
MA
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Khama D Ennis, MD, MPH?

The NPI number of Dr. Khama D Ennis, MD, MPH is 1669453973. It was assigned on November 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Khama D Ennis, MD, MPH?

Dr. Khama D Ennis, MD, MPH is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 223355.

Where does Dr. Khama D Ennis, MD, MPH practice?

The practice location is 150 Infirmary Way, Amherst, MA 01003-9288. The office can be reached at 413-577-5152 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669453973 directly on the NPPES registry website.

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