Cona Health Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R201815 Issued in MD

Legal business name

CONA HEALTH CLINIC, LLC

Practice address

9887 Good Luck Rd
# 7
Lanham, MD 20706-3219

Phone

(301) 605-5916

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Chinwendu N Ezeoru, NP

Title

Ceo

Phone

(301) 605-5916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1225563117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9887 GOOD LUCK RD",
            "address_2": "# 7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9887 GOOD LUCK RD",
            "address_2": "# 7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063219",
            "telephone_number": "301-605-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONA HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "EZEORU",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-605-5916",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R201815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Lanham, MD
• Providers in Lanham, 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 Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.