Obehi Omoijuanfo, is a
Clinic/center - Developmental Disabilities based in Bowie, Maryland. Obehi Omoijuanfo is licensed to practice in * (Not Available) (license number ) and her current practice location is
14905 Doveheart Ln, Bowie, Maryland. She can be reached at her office (for appointments etc.) via phone at
(240) 520-3197.
NPI number for Obehi Omoijuanfo is 1164193462 and her current mailing address is 14905 Doveheart Ln, Bowie, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164193462.
Provider's Profile
Full Name | Obehi Omoijuanfo |
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Gender | Female |
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Speciality | Clinic/center - Developmental Disabilities |
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Location | 14905 Doveheart Ln, Bowie, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164193462
- Provider Enumeration Date: 09/26/2021
- Last Update Date: 10/30/2023
Medical Identifiers
Medical identifiers for Obehi Omoijuanfo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164193462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R202569 (Maryland) | Secondary |
261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | 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. Obehi Omoijuanfo 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 |
Obehi Omoijuanfo, 14905 Doveheart Ln, Bowie, MD 20721-3084 Ph: (240) 520-3197 | Obehi Omoijuanfo, 14905 Doveheart Ln, Bowie, MD 20721-3084 Ph: (240) 520-3197 |
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