| Allianze Inc | |
|
526 S Conkling St Baltimore MD 21224-4201 | |
| (443) 759-1137 | |
| Not Available |
| Full Name | Allianze Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 526 S Conkling St, Baltimore, Maryland |
| Authorized Official Name and Position | Philip Okojie (OWNER) |
| Authorized Official Contact | 4437591137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allianze Inc 9609 Wickstead Ct Perry Hall MD 21128-8977 Ph: (443) 759-1137 | Allianze Inc 526 S Conkling St Baltimore MD 21224-4201 Ph: (443) 759-1137 |
| NPI Number | 1508589128 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 5496106148 |
|---|---|
| Medicare Enrollment ID | O20240108003752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508589128 | NPI | - | NPPES |
| 220712864 | Other | MD | MARYLAND BHA |
| Provider Name | Belinda Okoruwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023780517 PECOS PAC ID: 5799136347 Enrollment ID: I20240108004038 |
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