| Opollo Health And Wellness Llc | |
|
7404 Executive Pl Ste 400-l2 Lanham MD 20706-2268 | |
| (240) 424-2939 | |
| Not Available |
| Full Name | Opollo Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7404 Executive Pl Ste 400-l2, Lanham, Maryland |
| Authorized Official Name and Position | Yetunde Rotimi (PROVIDER) |
| Authorized Official Contact | 2404242939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opollo Health And Wellness Llc 7404 Executive Pl Ste 400-l2 Lanham MD 20706-2268 Ph: (240) 424-2939 | Opollo Health And Wellness Llc 7404 Executive Pl Ste 400-l2 Lanham MD 20706-2268 Ph: (240) 424-2939 |
| NPI Number | 1083393227 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 8325573363 |
|---|---|
| Medicare Enrollment ID | O20241127001167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083393227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yetunde Precious Rotimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083162960 PECOS PAC ID: 3375081516 Enrollment ID: I20240819002362 |
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