Kurup Wound Care, Inc. | |
1835 University Blvd E Ste 208 Hyattsville MD 20783-4600 | |
(301) 873-9876 | |
(301) 445-3502 |
Full Name | Kurup Wound Care, Inc. |
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Speciality | Family Medicine |
Location | 1835 University Blvd E, Hyattsville, Maryland |
Authorized Official Name and Position | Ajit Gopal Kurup (OWNER / PRESIDENT) |
Authorized Official Contact | 3018739876 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kurup Wound Care, Inc. 1835 University Blvd E Ste 208 Hyattsville MD 20783-4600 Ph: (301) 873-9876 | Kurup Wound Care, Inc. 1835 University Blvd E Ste 208 Hyattsville MD 20783-4600 Ph: (301) 873-9876 |
NPI Number | 1861652646 |
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Provider Enumeration Date | 06/14/2008 |
Last Update Date | 09/25/2012 |
Medicare PECOS PAC ID | 0345305710 |
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Medicare Enrollment ID | O20090218000520 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861652646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0063681 (Maryland) | Primary |
Provider Name | Ajit G Kurup |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417900051 PECOS PAC ID: 8325078801 Enrollment ID: I20050815000561 |
Provider Name | Nikiru J Ezeani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790900868 PECOS PAC ID: 2163514787 Enrollment ID: I20070827000585 |
Provider Name | Melanie N Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396053906 PECOS PAC ID: 2961681986 Enrollment ID: I20121112000250 |
Provider Name | Olubunmi O Fajuyigbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043655137 PECOS PAC ID: 9436398757 Enrollment ID: I20130618000501 |
Provider Name | Elizabeth N Obi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891110623 PECOS PAC ID: 3870818180 Enrollment ID: I20150209001141 |
Provider Name | Eugenia Caternor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154695948 PECOS PAC ID: 4880916170 Enrollment ID: I20150409000433 |
Provider Name | Aubin K Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730578709 PECOS PAC ID: 9234458084 Enrollment ID: I20150429002076 |
Provider Name | Sylivia U Acholonu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316336498 PECOS PAC ID: 1153635750 Enrollment ID: I20150727001245 |
Provider Name | Adetimbo Adediran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679922298 PECOS PAC ID: 4082902937 Enrollment ID: I20161011000913 |
Provider Name | Sharen Ayensu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952642357 PECOS PAC ID: 4789963547 Enrollment ID: I20161222000893 |
Provider Name | Princess O Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154808343 PECOS PAC ID: 4789920554 Enrollment ID: I20190116000057 |
Provider Name | Himabindu G Vinodrao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790240646 PECOS PAC ID: 4587999107 Enrollment ID: I20190718000481 |
Provider Name | Bunmi Ayobami Adewunmi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205304326 PECOS PAC ID: 2163851734 Enrollment ID: I20200402000347 |
Provider Name | Philomena Nufunkuen Keli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013536960 PECOS PAC ID: 8224451307 Enrollment ID: I20200708001033 |
Provider Name | Constance Morfaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942562848 PECOS PAC ID: 4385064740 Enrollment ID: I20201023001336 |
Provider Name | Ayah Taniform |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134598055 PECOS PAC ID: 2466864640 Enrollment ID: I20201211000672 |
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