Organization
BETHEL MEDICAL CLINIC CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAJIDE AYODEJI OBADINA M.D., (MEDICAL DIRECTOR)
(301) 345-3966
Entity
Organization
Contact information
Practice address
7325 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-3618
(301) 345-3966
(301) 982-2937
Mailing address
7325 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-3618
(301) 345-3966
(301) 982-2937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127041900
—
MD
01
—
C500
CAREFIRSTBCBS DC GROUP #
DC
01
—
KP71BE
CAREFIRST BCBS GROUP #
MD
Enumeration date
09/02/2006
Last updated
08/08/2011
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