Dr Olumide A Coker, MD | |
1221 Mercantile Ln, Largo, MD 20774-5374 | |
(301) 618-5500 | |
(301) 618-5673 |
Full Name | Dr Olumide A Coker |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1221 Mercantile Ln, Largo, 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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1235171885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | D0062141 (Maryland) | Secondary |
207R00000X | Internal Medicine | 0101237145 (Virginia) | Secondary |
207R00000X | Internal Medicine | 081610 (Georgia) | 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 |
Mailing Address | Practice Location Address |
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Dr Olumide A Coker, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (301) 346-4888 | Dr Olumide A Coker, MD 1221 Mercantile Ln, Largo, MD 20774-5374 Ph: (301) 618-5500 |
Dr. Lynn Anetta Thomas, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Rupa Allam Varma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Avenue, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5673 | |
Dr. Doreen Blake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Mercantile Ln, Suite 111, Largo, MD 20774 Phone: 301-925-7610 | |
Dr. Nancy Fleurancois, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln Ste 102, Largo, MD 20774 Phone: 301-368-1500 | |
Dr. Cielito M Aguinaldo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Surendra M Kumar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Mercantile Ln, Ste 135, Largo, MD 20774 Phone: 301-773-9700 | |
Dr. Jerry Wendell Mcconnell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 |