| Sisom Osia, M.d./ Gateway Medical Center | |
|
9628 Marlboro Pike Upper Marlboro MD 20772 | |
| (301) 599-7010 | |
| (301) 599-1222 |
| Full Name | Sisom Osia, M.d./ Gateway Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 9628 Marlboro Pike, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Sisom Osia (PRESIDENT) |
| Authorized Official Contact | 3015997010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisom Osia, M.d./ Gateway Medical Center Po Box 2070 Upper Marlboro MD 20773-2070 Ph: (301) 599-7010 | Sisom Osia, M.d./ Gateway Medical Center 9628 Marlboro Pike Upper Marlboro MD 20772 Ph: (301) 599-7010 |
| NPI Number | 1689621203 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/08/2010 |
| Medicare PECOS PAC ID | 0648299602 |
|---|---|
| Medicare Enrollment ID | O20051118000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689621203 | NPI | - | NPPES |
| 051701101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0048158 (Maryland) | Primary |
| Provider Name | Sisom Osia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154442366 PECOS PAC ID: 9335168889 Enrollment ID: I20051115000152 |
Imelda Miranda, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7611 S Osborne Rd, Upper Marlboro, MD 20772 Phone: 301-952-8401 Fax: 301-952-8464 | |
Wills Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14310 Old Marlboro Pike, Upper Marlboro, MD 20772 Phone: 301-627-1448 Fax: 301-627-5010 | |
Total Wellness & Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9500 Marlboro Pike Ste 12, Upper Marlboro, MD 20772 Phone: 301-494-1006 Fax: 301-494-1006 | |
Springforth Health And Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11400 Treton Ct, Upper Marlboro, MD 20774 Phone: 301-633-2515 | |
Seraphim Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-899-6070 | |
Vivis Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3606 Chancelsors Dr, Upper Marlboro, MD 20772 Phone: 240-687-4317 Fax: 218-264-3428 | |
Comfort Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9966 Royal Commerce Pl, Upper Marlboro, MD 20774 Phone: 240-646-2811 |