| Eg Family Practice And Psychiatry Services Inc | |
|
11028 Spring Lake Dr Bowie MD 20721-2924 | |
| (301) 367-0564 | |
| (301) 333-1909 |
| Full Name | Eg Family Practice And Psychiatry Services Inc |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 11028 Spring Lake Dr, Bowie, Maryland |
| Authorized Official Name and Position | Grace O Akinpetide (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3013670564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eg Family Practice And Psychiatry Services Inc Po Box 4153 Upper Marlboro MD 20775-0153 Ph: (301) 367-0564 | Eg Family Practice And Psychiatry Services Inc 11028 Spring Lake Dr Bowie MD 20721-2924 Ph: (301) 367-0564 |
| NPI Number | 1548708266 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 10/19/2017 |
| Medicare PECOS PAC ID | 3678831823 |
|---|---|
| Medicare Enrollment ID | O20171218002296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548708266 | NPI | - | NPPES |
| Provider Name | Emmanuel R Oni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356597975 PECOS PAC ID: 1759563323 Enrollment ID: I20120404000235 |
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