| Lorraine Ofori-awuah Md Pa | |
|
5430 Campbell Blvd Ste 214 White Marsh MD 21162 | |
| (410) 933-4970 | |
| (410) 933-4971 |
| Full Name | Lorraine Ofori-awuah Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5430 Campbell Blvd, White Marsh, Maryland |
| Authorized Official Name and Position | Lorraine Beatrice Ofori-awuah (PRESIDENT) |
| Authorized Official Contact | 4109608164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Ofori-awuah Md Pa 9305 Glen Vista Rd Perry Hall MD 21128 Ph: (410) 933-4970 | Lorraine Ofori-awuah Md Pa 5430 Campbell Blvd Ste 214 White Marsh MD 21162 Ph: (410) 933-4970 |
| NPI Number | 1487769915 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/21/2011 |
| Medicare PECOS PAC ID | 9739286105 |
|---|---|
| Medicare Enrollment ID | O20070518000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487769915 | NPI | - | NPPES |
| 405496200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DOO61789 (Maryland) | Primary |
| Provider Name | Lorraine B Ofori-awuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952334112 PECOS PAC ID: 6507837804 Enrollment ID: I20040802000827 |
| Provider Name | Brian Seymore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851438345 PECOS PAC ID: 8527012483 Enrollment ID: I20051129001093 |
Maryland Interventional Pain Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162 Phone: 443-725-4930 | |
Irene Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5430 Campbell Blvd Ste 204, White Marsh, MD 21162 Phone: 443-823-5066 Fax: 443-327-5266 | |
Sudhir Sekhsaria, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162 Phone: 410-933-9404 Fax: 410-933-9405 |