Dr Ifeoluwa Y Omitowoju, MD | |
1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 | |
(410) 737-5000 | |
Not Available |
Full Name | Dr Ifeoluwa Y Omitowoju |
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Gender | Female |
Speciality | Pediatrics |
Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629068903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0059049 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1073678637 PECOS PAC ID: 3779495858 Enrollment ID: O20100729000796 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Ifeoluwa Y Omitowoju, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Ifeoluwa Y Omitowoju, MD 1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 Ph: (410) 737-5000 |
Dr. Martina Angelini Schwartz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 Twin Springs Rd, Halethorpe, MD 21227 Phone: 410-737-5472 Fax: 443-263-7373 |