Organization
SEVOX MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OSAGEDE IMOMOH DNAP (CRNA)
(240) 898-5075
Entity
Organization
Contact information
Practice address
13219 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2647
(443) 548-0484
(240) 744-5661
Mailing address
13219 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2647
(443) 548-0484
(240) 744-5661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
11/04/2025
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