| Proshade Healthcare | |
|
9620 Norfolk Ave Laurel MD 20723-1881 | |
| (240) 713-7774 | |
| Not Available |
| Full Name | Proshade Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 9620 Norfolk Ave, Laurel, Maryland |
| Authorized Official Name and Position | Folashade Akinbinu (CEO) |
| Authorized Official Contact | 2403817123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proshade Healthcare 9620 Norfolk Ave Laurel MD 20723-1881 Ph: (240) 381-7123 | Proshade Healthcare 9620 Norfolk Ave Laurel MD 20723-1881 Ph: (240) 713-7774 |
| NPI Number | 1184386294 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184386294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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