| Westside Medical Group L. L. C | |
|
2600 Liberty Heights Ave Baltimore MD 21215-7804 | |
| (410) 383-4424 | |
| Not Available |
| Full Name | Westside Medical Group L. L. C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Liberty Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tajudeen I Ohiokpehai (PRESIDENT) |
| Authorized Official Contact | 4109227382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Medical Group L. L. C Po Box 922 Brooklandville MD 21022-0922 | Westside Medical Group L. L. C 2600 Liberty Heights Ave Baltimore MD 21215-7804 Ph: (410) 383-4424 |
| NPI Number | 1124219779 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124219779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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