# PROSHADE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proshade Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184386294
- **Authorized official:** MS. FOLASHADE AKINBINU FNP (CEO)
- **Authorized official phone:** (240) 381-7123

## Contact information

- **Practice address:** 9620 NORFOLK AVE, LAUREL, MD 20723-1881
- **Practice address phone:** (240) 713-7774
- **Mailing address:** 9620 NORFOLK AVE, LAUREL, MD 20723-1881
- **Mailing address phone:** (240) 381-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021