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Organization
SUNRISE MEDICAL CLINIC, LLC
Active
Organization
SUNRISE MEDICAL CLINIC, LLC
Active
Parent organization
VITALIS O. OJIEGBE, MD
Other names
Vitalis O. Ojiegbe, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALIS O. OJIEGBE, MD
Authorized official
MRS. MAGDALENE OJIEGBE (MANAGER)
(301) 220-3500
Entity
Organization
Contact information
Practice address
6201 GREENBELT RD, SUITE M-17, COLLEGE PARK, MD 20740-2354
(301) 220-9500
(301) 982-0321
Mailing address
PO BOX 1527, GREENBELT, MD 20768-1527
(301) 220-9500
(301) 982-0321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0065418
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027374100
—
MD
01
—
11328638
CAQH
MD
Enumeration date
01/22/2010
Last updated
03/07/2023
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