| Edomed Medical Associates Llc | |
|
8700 Central Ave Ste 301 Landover MD 20785-4853 | |
| (301) 324-0078 | |
| Not Available |
| Full Name | Edomed Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Central Ave Ste 301, Landover, Maryland |
| Authorized Official Name and Position | Musa Mark Momoh (OWNER) |
| Authorized Official Contact | 3013240078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edomed Medical Associates Llc Po Box 10907 Silver Spring MD 20914-0907 Ph: (301) 324-0078 | Edomed Medical Associates Llc 8700 Central Ave Ste 301 Landover MD 20785-4853 Ph: (301) 324-0078 |
| NPI Number | 1154510154 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 03/27/2008 |
| Medicare PECOS PAC ID | 6901894211 |
|---|---|
| Medicare Enrollment ID | O20040506000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154510154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D52900 (Maryland) | Primary |
| Provider Name | Musa Momoh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184607277 PECOS PAC ID: 0941299523 Enrollment ID: I20040510000202 |
| Provider Name | Evelyn Gyirepaa Dakwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659645224 PECOS PAC ID: 0547406902 Enrollment ID: I20130410000148 |
| Provider Name | Vanessa Osula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225564628 PECOS PAC ID: 5799054003 Enrollment ID: I20181022001480 |
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