Ololade Sanusi, MD | |
6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | |
(443) 849-2707 | |
(443) 849-8066 |
Full Name | Ololade Sanusi |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 6535 N Charles St Ste 100, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902434152 | NPI | - | NPPES |
212374600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0096677 (Maryland) | Secondary |
207Q00000X | Family Medicine | D0095577 (Maryland) | Primary |
Entity Name | Greater Baltimore Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Mailing Address | Practice Location Address |
---|---|
Ololade Sanusi, MD 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 Ph: (443) 849-2707 | Ololade Sanusi, MD 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 Ph: (443) 849-2707 |
Dr. Timothy Anthony Buckley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1501 S Clinton St, Baltimore, MD 21224 Phone: 866-763-2211 | |
Salih Grice, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd Ste 300, Baltimore, MD 21208 Phone: 410-653-0366 Fax: 410-601-4759 | |
Sydney Luthy, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 7602 Belair Rd, Baltimore, MD 21236 Phone: 443-286-3550 | |
Kathy Linne Von Berg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 N Charles St, Baltimore, MD 21218 Phone: 410-516-8270 | |
Yoon Jung Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9114 Philadelphia Rd Suite 108, Ste 108, Medical Health Group At White Marsh, Baltimore, MD 21237 Phone: 410-918-0777 Fax: 410-369-1707 | |
Dr. Khalid El-bedawi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 W North Ave, Baltimore, MD 21217 Phone: 410-383-8300 Fax: 443-383-3160 | |
Aaron David Greenblatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W Pratt St, Baltimore, MD 21223 Phone: 443-462-3420 |