Mayowa Akinwande

Individual provider Active NPI Case Manager/Care Coordinator · Largo, MD

NPI 1245083419 · NPPES record last updated Apr 8, 2024

Key facts

NPI
1245083419
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1016 Peconic PL
Largo, MD 20774-5704
Phone
(240) 423-1146
NPI assigned
Apr 8, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1016 Peconic PL
Largo, MD 20774-5704

Mailing address

1016 Peconic PL
Largo, MD 20774-5704
Phone (240) 423-1146

Other providers in Largo, MD

All providers in Largo, MD · Case Manager/Care Coordinator in Maryland

Sources for this page

Verify at the official NPI Registry.