| Muyinat Yewande Osoba, | |
|
11085 Little Patuxent Pkwy Ste 101, Columbia, MD 21044-2914 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Muyinat Yewande Osoba |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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. Jonathon O Russell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7226 Lee Deforest Dr Ste 204, Columbia, MD 21046 Phone: 443-333-5233 Fax: 443-333-5232 | |
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 |