Organization
OMEGA FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAIYE ONI NURSE PRACTITIONER (PRESIDENT /OWNER)
(202) 361-8842
Entity
Organization
Contact information
Practice address
7203 HANOVER PKWY STE B, GREENBELT, MD 20770-2000
(240) 391-6730
(888) 502-3207
Mailing address
7203 HANOVER PKWY STE B, GREENBELT, MD 20770-2000
(240) 391-6730
(888) 502-3207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1008766
DC STATE LICENSE
DC
Enumeration date
01/03/2014
Last updated
01/10/2018
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