| Monimils LLC | |
|
605 Post Office Rd Ste 101 Waldorf MD 20602-1913 | |
| (301) 494-1006 | |
| Not Available |
| Full Name | Monimils LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 605 Post Office Rd Ste 101, Waldorf, Maryland |
| Authorized Official Name and Position | Yetunde Sannoh (MD/OWNER) |
| Authorized Official Contact | 3014941006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monimils LLC 605 Post Office Rd Ste 101 Waldorf MD 20602-1913 Ph: (301) 494-1006 | Monimils LLC 605 Post Office Rd Ste 101 Waldorf MD 20602-1913 Ph: (301) 494-1006 |
| NPI Number | 1679093561 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1759643034 |
|---|---|
| Medicare Enrollment ID | O20180326002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679093561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Yetunde a Sannoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871752717 PECOS PAC ID: 9931247137 Enrollment ID: I20131010000869 |
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