Morayo Medical Llc | |
12200 Annapolis Rd Ste 324 Glenn Dale MD 20769-9184 | |
(301) 291-7077 | |
(301) 291-7073 |
Full Name | Morayo Medical Llc |
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Speciality | Clinic/Center |
Location | 12200 Annapolis Rd Ste 324, Glenn Dale, Maryland |
Authorized Official Name and Position | Patricia Oshodi (CEO) |
Authorized Official Contact | 2026742576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Morayo Medical Llc 2702 Swann Wing Ct Glenarden MD 20706-1683 Ph: (202) 674-2576 | Morayo Medical Llc 12200 Annapolis Rd Ste 324 Glenn Dale MD 20769-9184 Ph: (301) 291-7077 |
NPI Number | 1154039162 |
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Provider Enumeration Date | 11/08/2022 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 1456716737 |
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Medicare Enrollment ID | O20230421000595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154039162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Patricia A Oshodi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558516187 PECOS PAC ID: 9133250624 Enrollment ID: I20110616000521 |
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