| Alpha Point Medical Llc | |
|
6201 Greenbelt Rd Suite M8b Berwyn Heights MD 20740-2354 | |
| (301) 313-9013 | |
| (301) 313-9015 |
| Full Name | Alpha Point Medical Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6201 Greenbelt Rd, Berwyn Heights, Maryland |
| Authorized Official Name and Position | Adebowale I Ajayi (PRESIDENT) |
| Authorized Official Contact | 3013139013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Point Medical Llc Po Box 507 Fulton MD 20759-0507 Ph: (301) 313-9013 | Alpha Point Medical Llc 6201 Greenbelt Rd Suite M8b Berwyn Heights MD 20740-2354 Ph: (301) 313-9013 |
| NPI Number | 1639576358 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 12/18/2014 |
| Medicare PECOS PAC ID | 5597080457 |
|---|---|
| Medicare Enrollment ID | O20150217001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639576358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D45217 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R118268 (Maryland) | Primary |
| Provider Name | Adebowale I Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104877984 PECOS PAC ID: 3173517885 Enrollment ID: I20051201000770 |
| Provider Name | Grace O Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922258391 PECOS PAC ID: 9032257050 Enrollment ID: I20091112000213 |
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