| Denoor Healthcare Services Inc | |
|
1935 W Pratt St Baltimore MD 21223-2251 | |
| (571) 232-9182 | |
| Not Available |
| Full Name | Denoor Healthcare Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1935 W Pratt St, Baltimore, Maryland |
| Authorized Official Name and Position | Kafayat Olabisi Bello-ogundipe (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5712329182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denoor Healthcare Services Inc 1935-1937 W Pratt St First Floor Baltimore MD 21223-2251 Ph: (571) 232-9182 | Denoor Healthcare Services Inc 1935 W Pratt St Baltimore MD 21223-2251 Ph: (571) 232-9182 |
| NPI Number | 1902490154 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 8921490566 |
|---|---|
| Medicare Enrollment ID | O20220112000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902490154 | NPI | - | NPPES |
| Provider Name | Angela Mackay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720655053 PECOS PAC ID: 8820487705 Enrollment ID: I20211115002330 |
| Provider Name | Abdul Doza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922796416 PECOS PAC ID: 8628435716 Enrollment ID: I20230605003051 |
| Provider Name | May Ejiro Omoijuanfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114796729 PECOS PAC ID: 2567904857 Enrollment ID: I20240601000035 |
| Provider Name | Chioma Iroegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518678390 PECOS PAC ID: 0446615918 Enrollment ID: I20240618001256 |
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