| Tavon Todd, | |
|
6509 Windsor Mill Rd, Gwynn Oak, MD 21207-5380 | |
| (410) 777-3978 | |
| Not Available |
| Full Name | Tavon Todd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6509 Windsor Mill Rd, Gwynn Oak, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609576412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R157924 (Maryland) | Primary |
| Entity Name | Center For Pain Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20040629000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Tavon Todd, 6509 Windsor Mill Rd, Gwynn Oak, MD 21207-5380 Ph: (410) 777-3978 | Tavon Todd, 6509 Windsor Mill Rd, Gwynn Oak, MD 21207-5380 Ph: (410) 777-3978 |
Grace Mbakop, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338 Fax: 443-200-5261 | |
Mrs. Jasmyn Renee Berkley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5524 Wesley Ave, Gwynn Oak, MD 21207 Phone: 444-204-4549 | |
Bola D Osunkiyesi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6239 Seton Hills Ln, Gwynn Oak, MD 21207 Phone: 443-469-9528 | |
Gibrilla Mustapha Sannoh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338 | |
Monique Bruton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7131 Liberty Rd, Gwynn Oak, MD 21207 Phone: 443-985-0369 | |
Sakirat Bukola Raheem, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd, Gwynn Oak, MD 21207 Phone: 443-200-5338 |