| Parkway Medical Association Llc | |
|
1600 Crain Hwy S Suite 201 Glen Burnie MD 21061-5577 | |
| (410) 760-0098 | |
| (410) 761-9131 |
| Full Name | Parkway Medical Association Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Kunmi Olalekan Majekodunmi (MEDICAL OFFICER) |
| Authorized Official Contact | 4107600098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Medical Association Llc 1504 Edge Rock Ct Davidsonville MD 21035-1101 Ph: (410) 760-0098 | Parkway Medical Association Llc 1600 Crain Hwy S Suite 201 Glen Burnie MD 21061-5577 Ph: (410) 760-0098 |
| NPI Number | 1730261678 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 0749382067 |
|---|---|
| Medicare Enrollment ID | O20070216000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730261678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kunmi O Majekodunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497791917 PECOS PAC ID: 9638183866 Enrollment ID: I20060126000874 |
| Provider Name | Adetola Adekemi Adetunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700436326 PECOS PAC ID: 3870695190 Enrollment ID: I20201208001917 |
| Provider Name | Gina Gennarione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164203535 PECOS PAC ID: 2264882653 Enrollment ID: I20231227002635 |
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