| Tdk Integrated Health, Inc | |
|
7102 Glen Pine St Glenn Dale MD 20769-9463 | |
| (301) 466-1322 | |
| Not Available |
| Full Name | Tdk Integrated Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7102 Glen Pine St, Glenn Dale, Maryland |
| Authorized Official Name and Position | Funmilayo Olugbemi (CEO) |
| Authorized Official Contact | 3014661322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdk Integrated Health, Inc 7102 Glen Pine St Glenn Dale MD 20769-9463 Ph: () - | Tdk Integrated Health, Inc 7102 Glen Pine St Glenn Dale MD 20769-9463 Ph: (301) 466-1322 |
| NPI Number | 1841812005 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 09/02/2022 |
| Medicare PECOS PAC ID | 4385034602 |
|---|---|
| Medicare Enrollment ID | O20211201000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841812005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Funmilayo Olugbemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780151647 PECOS PAC ID: 4981936127 Enrollment ID: I20211201000041 |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 300, Glenn Dale, MD 20769 Phone: 301-249-5384 | |
Maryland Specialty Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12200 Annapolis Rd, Suite# 123, Glenn Dale, MD 20769 Phone: 301-552-9495 Fax: 301-552-9743 | |
Prime Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd, Suite 308, Glenn Dale, MD 20769 Phone: 301-805-0006 Fax: 301-805-5757 | |
Morayo Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 324, Glenn Dale, MD 20769 Phone: 301-291-7077 Fax: 301-291-7073 | |
Zenith Medical Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5808 Marietta Station Dr, Glenn Dale, MD 20769 Phone: 240-654-2389 Fax: 240-205-8617 | |
Krystal Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd, Suite 100, Glenn Dale, MD 20769 Phone: 301-464-7601 Fax: 866-885-9817 | |
Inclusive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 316, Glenn Dale, MD 20769 Phone: 301-313-0600 Fax: 301-313-0603 |