| Integrahealth Llc | |
|
10 N Rock Glen Rd Baltimore MD 21229-3250 | |
| (410) 646-2100 | |
| Not Available |
| Full Name | Integrahealth Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10 N Rock Glen Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Kamal Salah H Sewaralthahab (CO-OWNER) |
| Authorized Official Contact | 5713387460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrahealth Llc 9722 Groffs Mill Dr # 916 Owings Mills MD 21117-6341 Ph: (410) 870-9380 | Integrahealth Llc 10 N Rock Glen Rd Baltimore MD 21229-3250 Ph: (410) 646-2100 |
| NPI Number | 1932968856 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Medicare PECOS PAC ID | 3678911625 |
|---|---|
| Medicare Enrollment ID | O20240503003481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932968856 | NPI | - | NPPES |
| Provider Name | Phyllis C Nyotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174890735 PECOS PAC ID: 8820238264 Enrollment ID: I20130709000498 |
| Provider Name | Joseph A Dekker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336408947 PECOS PAC ID: 3577710714 Enrollment ID: I20160627000071 |
| Provider Name | James Petit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023277951 PECOS PAC ID: 4688720758 Enrollment ID: I20180717002932 |
| Provider Name | Chidi R Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578031977 PECOS PAC ID: 4587907647 Enrollment ID: I20190514001425 |
| Provider Name | Kaddie Kallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427519404 PECOS PAC ID: 6608204037 Enrollment ID: I20200319000196 |
| Provider Name | Sandrine Noutchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447510375 PECOS PAC ID: 9335557024 Enrollment ID: I20210419000997 |
| Provider Name | Beserat Legesse Kibret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578139689 PECOS PAC ID: 9234526120 Enrollment ID: I20220422002197 |
| Provider Name | Kehinde Laniyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720553662 PECOS PAC ID: 0648505313 Enrollment ID: I20220517000088 |
| Provider Name | Moses Njoki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578047973 PECOS PAC ID: 9931445848 Enrollment ID: I20230608001001 |
| Provider Name | Kemah Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700588092 PECOS PAC ID: 5597128728 Enrollment ID: I20231016000915 |
| Provider Name | Anyinkeng L Tazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245591973 PECOS PAC ID: 8426404328 Enrollment ID: I20231030001488 |
| Provider Name | Walter Lewis Toller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760060636 PECOS PAC ID: 9537572839 Enrollment ID: I20231030003361 |
| Provider Name | Kamal Salah H Sewaralthahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689939035 PECOS PAC ID: 2365757291 Enrollment ID: I20231107001185 |
| Provider Name | Docia Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571092 PECOS PAC ID: 3971951609 Enrollment ID: I20231120000735 |
| Provider Name | Evlyn Billy Eko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427756584 PECOS PAC ID: 4688022775 Enrollment ID: I20231130000403 |
| Provider Name | Oluyemisi Olanike Awe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623036 PECOS PAC ID: 0941659585 Enrollment ID: I20231208000447 |
| Provider Name | Jeane Nambu Salifu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265853527 PECOS PAC ID: 5698123685 Enrollment ID: I20231212000269 |
| Provider Name | Fobella Anyiji Nzobella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750164521 PECOS PAC ID: 1951741180 Enrollment ID: I20240513002538 |
| Provider Name | Jennifer Laidley-kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518742949 PECOS PAC ID: 4789901034 Enrollment ID: I20240610002919 |
| Provider Name | Dympna Ndelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386414480 PECOS PAC ID: 8628511979 Enrollment ID: I20240614003565 |
| Provider Name | Lilian L Maboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215296157 PECOS PAC ID: 5597208561 Enrollment ID: I20240620000406 |
| Provider Name | Abimbola C Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335824 PECOS PAC ID: 3274971411 Enrollment ID: I20240621003367 |
| Provider Name | Carine Tajocha Amin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518724145 PECOS PAC ID: 2860834439 Enrollment ID: I20240626003122 |
| Provider Name | Ernest Glenn Gorleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548909500 PECOS PAC ID: 9436532421 Enrollment ID: I20240708001431 |
| Provider Name | Yetunde Oladimeji-stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225712318 PECOS PAC ID: 0941640841 Enrollment ID: I20240709000854 |
| Provider Name | Adeline Azong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548951817 PECOS PAC ID: 5597108340 Enrollment ID: I20240716002356 |
| Provider Name | Rolande Meumelieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578902185 PECOS PAC ID: 2961848288 Enrollment ID: I20240717003582 |
| Provider Name | Anne N Gichuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811767759 PECOS PAC ID: 6901342633 Enrollment ID: I20240718001368 |
| Provider Name | Celine N Fotie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043072259 PECOS PAC ID: 1153765433 Enrollment ID: I20240722001183 |
| Provider Name | Erin Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043911217 PECOS PAC ID: 3870941859 Enrollment ID: I20240723001103 |
| Provider Name | Sidonie Heumen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982470704 PECOS PAC ID: 9537508692 Enrollment ID: I20240808003923 |
| Provider Name | Cicely Locks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215528229 PECOS PAC ID: 7517359599 Enrollment ID: I20240813003954 |
| Provider Name | Nicole Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073238846 PECOS PAC ID: 0345694485 Enrollment ID: I20240926001765 |
| Provider Name | Omokorede Fatile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256992 PECOS PAC ID: 7113380866 Enrollment ID: I20241007000218 |
| Provider Name | Murren Isioma Okocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922884949 PECOS PAC ID: 9638601909 Enrollment ID: I20241011003406 |
| Provider Name | Kenya Countee-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972210821 PECOS PAC ID: 6103288691 Enrollment ID: I20241108000580 |
| Provider Name | Sikirat Adekoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366131708 PECOS PAC ID: 5496118705 Enrollment ID: I20241119002002 |
| Provider Name | Cornelia Elad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205576501 PECOS PAC ID: 3779018700 Enrollment ID: I20241127000829 |
| Provider Name | Leopoldine Tchakouteu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255050019 PECOS PAC ID: 5698114262 Enrollment ID: I20241127003190 |
| Provider Name | Miranda Fontem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215292784 PECOS PAC ID: 1951838747 Enrollment ID: I20241218001301 |
| Provider Name | Yetunde Adeyeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477329217 PECOS PAC ID: 8325575194 Enrollment ID: I20241218003791 |
| Provider Name | Lawrence M Afah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386070670 PECOS PAC ID: 0143757732 Enrollment ID: I20241220000685 |
| Provider Name | Fri Florence Fon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699039164 PECOS PAC ID: 3577090869 Enrollment ID: I20241227001592 |
| Provider Name | Kennedy Kwende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124719398 PECOS PAC ID: 7214460112 Enrollment ID: I20241231001674 |
| Provider Name | Angelina Onyinyechi Ekwonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376367813 PECOS PAC ID: 6800323833 Enrollment ID: I20250102002183 |
| Provider Name | Charity Osei-bonnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508549304 PECOS PAC ID: 8527409655 Enrollment ID: I20250107000269 |
| Provider Name | Maggie Ebangha Ayuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821702507 PECOS PAC ID: 5395273072 Enrollment ID: I20250108002938 |
| Provider Name | Vincent Cabico Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407672066 PECOS PAC ID: 1355879073 Enrollment ID: I20250113000155 |
| Provider Name | Remilekun Ruth Ademola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961778 PECOS PAC ID: 0042757155 Enrollment ID: I20250122002552 |
| Provider Name | Chinweoke Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194577718 PECOS PAC ID: 0648713206 Enrollment ID: I20250207001980 |
| Provider Name | John Bethel Kwabena Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124842711 PECOS PAC ID: 8729518584 Enrollment ID: I20250207002710 |
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