Optimum Primary Care Services Llc | |
5000 Thayer Ctr Ste C Oakland MD 21550-1139 | |
(240) 997-8976 | |
Not Available |
Full Name | Optimum Primary Care Services Llc |
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Speciality | Clinic/Center |
Location | 5000 Thayer Ctr Ste C, Oakland, Maryland |
Authorized Official Name and Position | Adediwura Ajadi (DIRECT OWNER) |
Authorized Official Contact | 2409978976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimum Primary Care Services Llc Po Box 44722 Fort Washington MD 20749-4722 Ph: () - | Optimum Primary Care Services Llc 5000 Thayer Ctr Ste C Oakland MD 21550-1139 Ph: (240) 997-8976 |
NPI Number | 1073233912 |
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Provider Enumeration Date | 08/31/2022 |
Last Update Date | 03/20/2025 |
Medicare PECOS PAC ID | 2769859636 |
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Medicare Enrollment ID | O20221107000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073233912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Adediwura Ajadi Jolaoso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801312053 PECOS PAC ID: 6305106022 Enrollment ID: I20180129000291 |
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