| Abisola Odunmbaku, MD | |
|
12008 Cherry Hill Rd, Silver Spring, MD 20904-1985 | |
| (301) 762-8155 | |
| Not Available |
| Full Name | Abisola Odunmbaku |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 12008 Cherry Hill Rd, Silver Spring, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689990574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | D79440 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Healthcare White Oak Medical Center | Silver spring, MD | Hospital |
| Adventist Healthcare Shady Grove Medical Center | Rockville, MD | Hospital |
| Adventist Healthcare Fort Washington Medical Ctr | Fort washington, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blackwell Physicians, Llc | 2163810383 | 26 |
| Entity Name | Blackwell Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932772589 PECOS PAC ID: 2163810383 Enrollment ID: O20211021001344 |
| Mailing Address | Practice Location Address |
|---|---|
| Abisola Odunmbaku, MD 820 W Diamond Ave, Gaithersburg, MD 20878-1419 Ph: (301) 315-3826 | Abisola Odunmbaku, MD 12008 Cherry Hill Rd, Silver Spring, MD 20904-1985 Ph: (301) 762-8155 |
Sameer A. Pandit, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Mr. Cliff Asabre Debrah, RT Radiology Medicare: Not Enrolled in Medicare Practice Location: 14012 Castle Ridge Way, Silver Spring, MD 20904 Phone: 240-338-6663 | |
Dr. Vivek Victor Mathur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Kaiser Permanente Holy Cross Hospital, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Wayne Hwang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Derek Taeyoung Kim, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 | |
Brittany Harrison, BS, RDCS, RVT, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 2304 Cold Meadow Way, Silver Spring, MD 20906 Phone: 724-799-9565 | |
Karoly Andras Viragh, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12720 Epping Ter, Silver Spring, MD 20906 Phone: 310-343-8328 |