| |
2700 Lighthouse Pt E Ste 260 Baltimore MD 21224-4791 | |
(410) 801-6575 | |
(410) 801-9672 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 2700 Lighthouse Pt E Ste 260, Baltimore, Maryland |
Authorized Official Name and Position | Aderonke Omotade (PHYSICIAN) |
Authorized Official Contact | 4108016575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2700 Lighthouse Pt E Ste 260 Baltimore MD 21224-4791 Ph: (410) 801-6575 | 2700 Lighthouse Pt E Ste 260 Baltimore MD 21224-4791 Ph: (410) 801-6575 |
NPI Number | 1427676071 |
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Provider Enumeration Date | 07/10/2020 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Medicare PECOS PAC ID | 3072050350 |
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Medicare Enrollment ID | O20240805001164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427676071 | NPI | - | NPPES |
Provider Name | Aderonke O Omotade |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568571305 PECOS PAC ID: 3577623180 Enrollment ID: I20081126000384 |
Provider Name | Yetunde Adegoroye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245884733 PECOS PAC ID: 0749511673 Enrollment ID: I20191008001539 |
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