| Alpha Health Llc | |
|
4706 Deanwood Dr Capitol Heights MD 20743-1127 | |
| (301) 323-8226 | |
| Not Available |
| Full Name | Alpha Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4706 Deanwood Dr, Capitol Heights, Maryland |
| Authorized Official Name and Position | Ifeyinwa Utoh-ofodile (OWNER) |
| Authorized Official Contact | 6467149708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Health Llc 4450 Mitchellville Rd # 1325 Bowie MD 20716-3112 Ph: (301) 323-8226 | Alpha Health Llc 4706 Deanwood Dr Capitol Heights MD 20743-1127 Ph: (301) 323-8226 |
| NPI Number | 1225737430 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 3173048378 |
|---|---|
| Medicare Enrollment ID | O20250421001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225737430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ifeyinwa Utoh-ofodile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364612 PECOS PAC ID: 6406388016 Enrollment ID: I20250305002117 |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20250521000261 |
| Provider Name | Aloysius Ateawung Bezejouh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922782358 PECOS PAC ID: 0547789000 Enrollment ID: I20250529001217 |
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