Zenith Medical Care, Llc | |
5808 Marietta Station Dr Glenn Dale MD 20769-9138 | |
(240) 654-2389 | |
(240) 205-8617 |
Full Name | Zenith Medical Care, Llc |
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Speciality | Internal Medicine |
Location | 5808 Marietta Station Dr, Glenn Dale, Maryland |
Authorized Official Name and Position | Oluyemisi O Adewunmi (DOCTOR) |
Authorized Official Contact | 2406542389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zenith Medical Care, Llc 5808 Marietta Station Dr Glenn Dale MD 20769-9138 Ph: (240) 654-2389 | Zenith Medical Care, Llc 5808 Marietta Station Dr Glenn Dale MD 20769-9138 Ph: (240) 654-2389 |
NPI Number | 1154606788 |
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Provider Enumeration Date | 10/14/2011 |
Last Update Date | 01/12/2012 |
Medicare PECOS PAC ID | 1658547823 |
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Medicare Enrollment ID | O20120110000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154606788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D59418 (Maryland) | Primary |
Provider Name | Oluyemisi O Adewunmi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871558965 PECOS PAC ID: 9234215260 Enrollment ID: I20110302000777 |
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