| Parkway Medical Association LLC | |
|
1916 Crain Hwy S Ste 10 Glen Burnie MD 21061-5565 | |
| (410) 760-0098 | |
| (410) 761-9131 |
| Full Name | Parkway Medical Association LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1916 Crain Hwy S Ste 10, Glen Burnie, Maryland |
| Authorized Official Name and Position | Kunmi Olalekan Majekodunmi (PRESIDENT) |
| Authorized Official Contact | 4107600098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Medical Association LLC 1504 Edge Rock Ct Davidsonville MD 21035-1101 Ph: (410) 760-0098 | Parkway Medical Association LLC 1916 Crain Hwy S Ste 10 Glen Burnie MD 21061-5565 Ph: (410) 760-0098 |
| NPI Number | 1730261678 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 0749382067 |
|---|---|
| Medicare Enrollment ID | O20070216000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730261678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kunmi O Majekodunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497791917 PECOS PAC ID: 9638183866 Enrollment ID: I20060126000874 |
| Provider Name | Adetola Adekemi Adetunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700436326 PECOS PAC ID: 3870695190 Enrollment ID: I20201208001917 |
| Provider Name | Linda Ayawvi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609732171 PECOS PAC ID: 7416434840 Enrollment ID: I20260116000478 |
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