| Maryland Health Services Llc | |
|
14300 Gallant Fox Ln Ste 103 Bowie MD 20715-4031 | |
| (240) 594-0350 | |
| Not Available |
| Full Name | Maryland Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14300 Gallant Fox Ln Ste 103, Bowie, Maryland |
| Authorized Official Name and Position | Taiwo Koyejo Alade (CEO/OWNER) |
| Authorized Official Contact | 2405940350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Health Services Llc 14300 Gallant Fox Ln Ste 103 Bowie MD 20715-4031 Ph: (240) 594-0350 | Maryland Health Services Llc 14300 Gallant Fox Ln Ste 103 Bowie MD 20715-4031 Ph: (240) 594-0350 |
| NPI Number | 1962100214 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962100214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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