| Gilead Quantum Health Systems Inc. | |
|
9470 Annapolis Rd Ste 117 Lanham MD 20706-3031 | |
| (301) 577-9111 | |
| (301) 577-9199 |
| Full Name | Gilead Quantum Health Systems Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9470 Annapolis Rd Ste 117, Lanham, Maryland |
| Authorized Official Name and Position | Theodore C. Osuala (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3015779111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Quantum Health Systems Inc. 7515 Annapolis Rd Suite 210 Landover Hills MD 20784-1740 Ph: (301) 577-9111 | Gilead Quantum Health Systems Inc. 9470 Annapolis Rd Ste 117 Lanham MD 20706-3031 Ph: (301) 577-9111 |
| NPI Number | 1043497290 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 9537247838 |
|---|---|
| Medicare Enrollment ID | O20080428000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043497290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DOO64126 (Maryland) | Primary |
| Provider Name | Theodore C Osuala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356428833 PECOS PAC ID: 3779661970 Enrollment ID: I20080428000556 |
| Provider Name | Esther O Shadare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245609775 PECOS PAC ID: 5193016772 Enrollment ID: I20160721001669 |
| Provider Name | Ngozi M Okudoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118095 PECOS PAC ID: 3072855055 Enrollment ID: I20200211002457 |
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