| Dominion Healthcare Services Inc | |
|
6481 Abel St Elkridge MD 21075-5298 | |
| (443) 848-9123 | |
| (410) 796-1442 |
| Full Name | Dominion Healthcare Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6481 Abel St, Elkridge, Maryland |
| Authorized Official Name and Position | Angela Obeng Awuah (NURSE PRACTITIONER) |
| Authorized Official Contact | 4438489123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Healthcare Services Inc 6481 Abel St Elkridge MD 21075-5298 Ph: (443) 848-9123 | Dominion Healthcare Services Inc 6481 Abel St Elkridge MD 21075-5298 Ph: (443) 848-9123 |
| NPI Number | 1821512591 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 6305106089 |
|---|---|
| Medicare Enrollment ID | O20180130000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821512591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Angela Awuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351255 PECOS PAC ID: 4789902867 Enrollment ID: I20150422000238 |
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