| Oasis Health Ventures Llc | |
|
2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 | |
| (443) 854-5899 | |
| Not Available |
| Full Name | Oasis Health Ventures Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 N Rolling Rd Ste 100, Windsor Mill, Maryland |
| Authorized Official Name and Position | Olufemi Olawale (OWNER) |
| Authorized Official Contact | 4432722614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Health Ventures Llc 2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 Ph: (443) 272-2614 | Oasis Health Ventures Llc 2500 N Rolling Rd Ste 100 Windsor Mill MD 21244-1999 Ph: (443) 854-5899 |
| NPI Number | 1306313903 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 1153669874 |
|---|---|
| Medicare Enrollment ID | O20190205001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306313903 | NPI | - | NPPES |
| 500166800 | Medicaid | MD |
| Provider Name | Olufemi Olawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497272777 PECOS PAC ID: 2062750789 Enrollment ID: I20190205001370 |
| Provider Name | Abena Achiaa Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811534274 PECOS PAC ID: 4789011230 Enrollment ID: I20200224001631 |
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