Habeeb Adesanya Agbabiaka, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hyattsville, MD
NPI 1821840729 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1821840729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4000 Garden City Dr Ste 810
Hyattsville, MD 20785-2419 - Phone
- (240) 677-3100
- Fax
- (301) 851-5600
- NPI assigned
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4000 Garden City Dr Ste 810
Hyattsville, MD 20785-2419
Mailing address
901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone (240) 677-0240
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- Agape Medical Service LLC
- Yetunde Risikat Agbaje
- Jessica Chiamaka Agbar
- Rosemary Agbeh
- Enyonam Yawa Agbessime Agbeko
- Enow R Agbortoko
All providers in Hyattsville, MD · Student in an Organized Health Care Education/Training Program 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 3, 2024. 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.