| Essential Health Group LLC | |
|
9304 Bay Leaf Ct Upper Marlboro MD 20772-3298 | |
| (701) 876-9227 | |
| Not Available |
| Full Name | Essential Health Group LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9304 Bay Leaf Ct, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Mary Obiyo (OWNER) |
| Authorized Official Contact | 7018769227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Health Group LLC 9304 Bay Leaf Ct Upper Marlboro MD 20772-3298 | Essential Health Group LLC 9304 Bay Leaf Ct Upper Marlboro MD 20772-3298 Ph: (701) 876-9227 |
| NPI Number | 1164211215 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 8123539822 |
|---|---|
| Medicare Enrollment ID | O20250618004120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164211215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Mary Obiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396457537 PECOS PAC ID: 2163877564 Enrollment ID: I20231024004181 |
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