Organization
WESTSIDE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJUDEEN OHIOKPEHAI M.D. (CEO)
(410) 383-4424
Entity
Organization
Contact information
Practice address
2600 LIBERTY HEIGHTS AVE, 1ST FLOOR, BALTIMORE, MD 21215-7804
(410) 383-4424
(410) 383-7918
Mailing address
PO BOX 922, BROOKLANDVILLE, MD 21022-0922
(410) 383-4424
(410) 383-7918
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D30115
MD
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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