| Kelechi Ego-osuala, | |
|
5305 Kenilworth Ave, Riverdale, MD 20737-3101 | |
| (301) 277-7110 | |
| Not Available |
| Full Name | Kelechi Ego-osuala |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5305 Kenilworth Ave, Riverdale, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841856499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0095010 (Maryland) | Primary |
| Entity Name | Edge Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801517453 PECOS PAC ID: 9133598592 Enrollment ID: O20221207002490 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelechi Ego-osuala, 5305 Kenilworth Ave, Riverdale, MD 20737-3101 Ph: () - | Kelechi Ego-osuala, 5305 Kenilworth Ave, Riverdale, MD 20737-3101 Ph: (301) 277-7110 |
Dr. Fredisia Clavenda Francis-attipoe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 1400, Riverdale, MD 20737 Phone: 301-486-7850 Fax: 301-486-7581 | |
Dr. Clayton W Straughn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4404 Queensbury Rd, Suite 130, Riverdale, MD 20737 Phone: 240-260-0230 Fax: 240-260-0219 |