Moshood Awokunle, CNA
Individual provider Active NPI Personal Care Attendant · Landover, MD
NPI 1871037366 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1871037366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- A00150676 (MD)
- Practice address
- 3417 Dodge Park Rd
Landover, MD 20785-2037 - Phone
- (301) 277-4337
- Fax
- (301) 277-4335
- NPI assigned
- Dec 19, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00150676 | MD | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | A00150676 | MD | Yes |
Addresses
Primary practice location
3417 Dodge Park Rd
Landover, MD 20785-2037
Mailing address
3417 Dodge Park Rd
Landover, MD 20785-2037
Phone (301) 277-4337
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All providers in Landover, MD · Personal Care Attendant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2016. 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.