| Roi Primary Care, LLC | |
|
9500 Medical Center Dr Ste 270 Upper Marlboro MD 20774-3709 | |
| (240) 615-7612 | |
| Not Available |
| Full Name | Roi Primary Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9500 Medical Center Dr Ste 270, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Irene Ndukwe (PROVIDER) |
| Authorized Official Contact | 2406157612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roi Primary Care, LLC 9500 Medical Center Dr Ste 270 Upper Marlboro MD 20774-3709 Ph: (240) 615-7612 | Roi Primary Care, LLC 9500 Medical Center Dr Ste 270 Upper Marlboro MD 20774-3709 Ph: (240) 615-7612 |
| NPI Number | 1285428300 |
|---|---|
| Provider Enumeration Date | 04/04/2025 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Medicare PECOS PAC ID | 8527571686 |
|---|---|
| Medicare Enrollment ID | O20250701003592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285428300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Irene Chidiebere Ndukwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932689007 PECOS PAC ID: 7517201270 Enrollment ID: I20181206001301 |
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