Muyinat Yewande Osoba, | |
11085 Little Patuxent Pkwy Ste 101, Columbia, MD 21044-2914 | |
(410) 955-5000 | |
Not Available |
Full Name | Muyinat Yewande Osoba |
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Gender | Female |
Speciality | Otolaryngology |
Location | 11085 Little Patuxent Pkwy Ste 101, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982100525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D0100544 (Maryland) | Primary |
207Y00000X | Otolaryngology | 125073699 (Illinois) | Secondary |
Entity Name | Johns Hopkins Regional Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609195320 PECOS PAC ID: 3274720552 Enrollment ID: O20101213000710 |
Mailing Address | Practice Location Address |
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Muyinat Yewande Osoba, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () - | Muyinat Yewande Osoba, 11085 Little Patuxent Pkwy Ste 101, Columbia, MD 21044-2914 Ph: (410) 955-5000 |
Dr. Earl Vane Wilkinson Iii, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5500 Knoll North Drive, Suite 310, Columbia, MD 21045 Phone: 410-964-5226 | |
Dr. Robert L Henderson, M.D., F.A.C.S. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10480 Little Patuxent Pkwy, Suite 220, Columbia, MD 21044 Phone: 443-535-9451 Fax: 443-535-9455 |