| Altruist Healthcare Incorporated | |
|
11 Maplewood Park Ct # Na Bethesda MD 20814-1743 | |
| (240) 476-3080 | |
| Not Available |
| Full Name | Altruist Healthcare Incorporated |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11 Maplewood Park Ct # Na, Bethesda, Maryland |
| Authorized Official Name and Position | Titilayo Ilori (CEO) |
| Authorized Official Contact | 2404763080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altruist Healthcare Incorporated 11 Maplewood Park Ct # Na Bethesda MD 20814-1743 Ph: (240) 476-3080 | Altruist Healthcare Incorporated 11 Maplewood Park Ct # Na Bethesda MD 20814-1743 Ph: (240) 476-3080 |
| NPI Number | 1790483311 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 9335597764 |
|---|---|
| Medicare Enrollment ID | O20231127000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790483311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Titilayo Tokunbo Ilori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659039022 PECOS PAC ID: 9133592355 Enrollment ID: I20230308001772 |
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