| Ade Adetunji | |
|
1450 Mercantile Ln, Upper Marlboro, MD 20774-5376 | |
| (301) 386-5453 | |
| (301) 386-5396 |
| Full Name | Ade Adetunji |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1450 Mercantile Ln, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962596031 | NPI | - | NPPES |
| 319906101 | Medicaid | MD | |
| 035063500 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 01264 (Maryland) | Primary |
| Provider Name | Ademuyiwa A Adetunji |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487638854 PECOS PAC ID: 7012943996 Enrollment ID: I20070702000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Ade Adetunji Po Box 265, Fulton, MD 20759-0265 Ph: (301) 386-5453 | Ade Adetunji 1450 Mercantile Ln, Upper Marlboro, MD 20774-5376 Ph: (301) 386-5453 |
Dr. Tasha Latrice Young, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4304 Arabella Ct, Upper Marlboro, MD 20772 Phone: 703-298-4064 Fax: 571-291-6135 | |
Dr. Khaled Attia Madi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500 | |
De La Sole Podiatric Medical Services Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 10507 Observatory Pl, Upper Marlboro, MD 20772 Phone: 404-606-7449 | |
Dr. Ademuyiwa Adekola Adetunji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1450 Mercantile Ln, Ste 151, Upper Marlboro, MD 20774 Phone: 301-386-5453 Fax: 301-386-5396 |