Omin Medical Center | |
20 Watkins Park Dr Upper Marlboro MD 20774-1628 | |
(301) 350-8500 | |
(301) 350-8503 |
Full Name | Omin Medical Center |
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Speciality | Clinic/Center |
Location | 20 Watkins Park Dr, Upper Marlboro, Maryland |
Authorized Official Name and Position | Okenwa R Nwosu (MEDICAL DIRECTOR) |
Authorized Official Contact | 3013508500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omin Medical Center 20 Watkins Park Dr Upper Marlboro MD 20774-1628 Ph: (301) 350-8500 | Omin Medical Center 20 Watkins Park Dr Upper Marlboro MD 20774-1628 Ph: (301) 350-8500 |
NPI Number | 1538364898 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 12/14/2015 |
Medicare PECOS PAC ID | 6800933490 |
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Medicare Enrollment ID | O20091030000551 |
Identifier | Type | State | Issuer |
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1538364898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | D27120 (Maryland) | Primary |
Provider Name | Adora Nneka Otiji |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780728154 PECOS PAC ID: 0042387714 Enrollment ID: I20091030000550 |
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