| Omega Family Clinic | |
|
7203 Hanover Pkwy Ste B Greenbelt MD 20770-2000 | |
| (240) 391-6730 | |
| (888) 502-3207 |
| Full Name | Omega Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7203 Hanover Pkwy Ste B, Greenbelt, Maryland |
| Authorized Official Name and Position | Taiye Oni (PRESIDENT /OWNER) |
| Authorized Official Contact | 2023618842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Family Clinic 7203 Hanover Pkwy Ste B Greenbelt MD 20770-2000 Ph: (240) 391-6730 | Omega Family Clinic 7203 Hanover Pkwy Ste B Greenbelt MD 20770-2000 Ph: (240) 391-6730 |
| NPI Number | 1750702049 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 1153684162 |
|---|---|
| Medicare Enrollment ID | O20180404001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750702049 | NPI | - | NPPES |
| RN1008766 | Other | DC | DC STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Taiye T Oni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932430659 PECOS PAC ID: 8820232283 Enrollment ID: I20160609000804 |
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