| Esno Health Group | |
|
6908 Sandy Creek Ct Clarksville MD 21029-1747 | |
| (410) 800-3440 | |
| Not Available |
| Full Name | Esno Health Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6908 Sandy Creek Ct, Clarksville, Maryland |
| Authorized Official Name and Position | Obinna Obiejemba (MANAGING MEMBER) |
| Authorized Official Contact | 4108003440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esno Health Group 6908 Sandy Creek Ct Clarksville MD 21029-1747 Ph: () - | Esno Health Group 6908 Sandy Creek Ct Clarksville MD 21029-1747 Ph: (410) 800-3440 |
| NPI Number | 1740783539 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Medicare PECOS PAC ID | 4385057470 |
|---|---|
| Medicare Enrollment ID | O20210111000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740783539 | NPI | - | NPPES |
| 068787100 | Medicaid | MD | |
| 073333600 | Medicaid | DC |
| Provider Name | Abena Adoko Sando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952666885 PECOS PAC ID: 2264681519 Enrollment ID: I20121003000041 |
| Provider Name | Obinna S Obiejemba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992055271 PECOS PAC ID: 3072831312 Enrollment ID: I20150923001541 |
| Provider Name | Emmanuel N Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528712726 PECOS PAC ID: 5799160719 Enrollment ID: I20220912002622 |
| Provider Name | Keivan A Gazy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225732357 PECOS PAC ID: 5395101166 Enrollment ID: I20230520000187 |
| Provider Name | Saudy Elizabeth Kanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215701321 PECOS PAC ID: 7911355797 Enrollment ID: I20231205001467 |
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