Komlan Jose Afezuke
Individual provider Active NPI Phlebotomy Technician · Frederick, MD
NPI 1407799497 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1407799497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Practice address
- 110 Baughmans LN
Frederick, MD 21702-4059 - Phone
- (443) 410-4644
- NPI assigned
- Apr 13, 2026
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Yes |
Addresses
Primary practice location
110 Baughmans LN
Frederick, MD 21702-4059
Mailing address
30 N Gould St # 37530
Sheridan, WY 82801-6317
Phone (443) 410-4644
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All providers in Frederick, MD · Phlebotomy Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.