Caleb Ademiloye, | |
9601 Pulaski Park Dr, Middle River, MD 21220-1409 | |
(410) 933-5678 | |
Not Available |
Full Name | Caleb Ademiloye |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 9601 Pulaski Park Dr, Middle River, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275182461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R208310 (Maryland) | Primary |
Entity Name | Washington Cardiovascular Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205835485 PECOS PAC ID: 7517903982 Enrollment ID: O20170104001162 |
Mailing Address | Practice Location Address |
---|---|
Caleb Ademiloye, 5636 Westgate Rd, Lanham, MD 20706-4130 Ph: () - | Caleb Ademiloye, 9601 Pulaski Park Dr, Middle River, MD 21220-1409 Ph: (410) 933-5678 |
Michaeleen Kennedy Anderson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11560 Crossroads Cir Ste 102, Middle River, MD 21220 Phone: 410-508-0722 | |
Latoya Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9826 Decatur Rd, Middle River, MD 21220 Phone: 410-240-0174 | |
Michael Nduati Mugo, CRNP- PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9715 Davison Rd, Middle River, MD 21220 Phone: 443-835-8678 | |
Adeniran Adeleye, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 Macdill Rd, Middle River, MD 21220 Phone: 301-256-5934 | |
Itoro Abatai, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9620 Maxwell Rd, Middle River, MD 21220 Phone: 443-691-5498 | |
Delphine E Ikpasaja, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 928 Long Manor Dr, Middle River, MD 21220 Phone: 443-882-5557 |