Dr Babajide Eyitayo Faditan, MD | |
1450 Mercantile Ln Ste 217, Largo, MD 20774-5388 | |
(301) 341-5000 | |
(301) 341-5001 |
Full Name | Dr Babajide Eyitayo Faditan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1450 Mercantile Ln Ste 217, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699087403 | NPI | - | NPPES |
378100300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D74464 (Maryland) | Primary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20040126000955 |
Mailing Address | Practice Location Address |
---|---|
Dr Babajide Eyitayo Faditan, MD 1450 Mercantile Ln Ste 217, Largo, MD 20774-5388 Ph: (301) 341-5000 | Dr Babajide Eyitayo Faditan, MD 1450 Mercantile Ln Ste 217, Largo, MD 20774-5388 Ph: (301) 341-5000 |
Dr. Mark Anthony Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5656 Fax: 301-618-5643 | |
Dr. Lynn S Trombka, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 | |
Rashonda Dennis, Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln Fl 3, Largo, MD 20774 Phone: 703-359-7878 | |
Dr. Diana Lee Hong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Adrienne G Collier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 013-938-5561 Fax: 016-185-6433 | |
Dr. Harvey R Gold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |