Emmanuel Adeyemi Shaw, LPN is a
Licensed Practical Nurse based in Burtonsville, Maryland. Emmanuel Adeyemi Shaw is licensed to practice in Maryland (license number LP48563) and his current practice location is
4230 Dunwood Ter, Burtonsville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(202) 413-6650.
NPI number for Emmanuel Adeyemi Shaw is 1093565236 and his current mailing address is 4230 Dunwood Ter, Burtonsville, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093565236.
Provider's Profile
Full Name | Emmanuel Adeyemi Shaw |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 4230 Dunwood Ter, Burtonsville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093565236
- Provider Enumeration Date: 03/22/2024
- Last Update Date: 03/22/2024
Medical Identifiers
Medical identifiers for Emmanuel Adeyemi Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093565236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP48563 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmanuel Adeyemi Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emmanuel Adeyemi Shaw, LPN 4230 Dunwood Ter, Burtonsville, MD 20866-1322 Ph: (202) 413-6650 | Emmanuel Adeyemi Shaw, LPN 4230 Dunwood Ter, Burtonsville, MD 20866-1322 Ph: (202) 413-6650 |
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