Organization · NPI-2

Bethel Medical Clinic Chartered

Internal Medicine · Greenbelt, MD

NPI number1174625057
StatusActive
Last updated in NPPESAug 8, 2011

Details

NPI
1174625057
Entity type
Organization (NPI-2)
Legal business name
Bethel Medical Clinic Chartered
Organization subpart
No
Enumeration date
Sep 2, 2006
Last updated
Aug 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207RH0003X Internal Medicine, Hematology & Oncology––

Practice location

7325 Hanover Pkwy
Suite A
Greenbelt, MD 20770-3618

Phone 301-345-3966 · Fax 301-982-2937

Mailing address

7325 Hanover Pkwy
Suite A
Greenbelt, MD 20770-3618

Phone 301-345-3966 · Fax 301-982-2937

Authorized official

Babajide Ayodeji Obadina
Medical Director
3013453966

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