Morayo Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MORAYO MEDICAL LLC

Practice address

12200 Annapolis Rd Ste 324
Glenn Dale, MD 20769-9184

Phone

(301) 291-7077

Fax

(301) 291-7073

NPI assigned

Nov 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Oshodi, MDNPI 1558516187

Title

Ceo

Phone

(202) 674-2576

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Adaobi Oladunni Oshodi, M.D.

  • Family Medicine Physician
  • Glenn Dale, MD
  • NPI 1558516187

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1154039162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 SWANN WING CT",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061683",
            "telephone_number": "202-674-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 324",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699184",
            "telephone_number": "301-291-7077",
            "fax_number": "301-291-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAYO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "OSHODI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-674-2576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryn Mi-Reka
• Mindfullyou LLC
• Kelvin L Mitchell, LCSW-C
• Musa Mark Momoh, MD
• Joseph Olisamedua Monye, MD
• Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI
• Sylvain Mouzong Aboule
• Mukemil Abdella MD LLC
• Derick T Mukom
• Quinta Manjo Mukom

• Primary Care Clinic/Center in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.