Obi, Evangeline C

Obi, Evangeline C is an sole proprietor health care provider with primary practice located at 2900 Mercy Ln , Cheverly MD 20785-1157. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Obi, Evangeline C can be contacted via phone (301) 851-5500.

Contact Information

Primary practice address
2900 Mercy Ln Cheverly MD 20785-1157
Phone: (301) 851-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116021225 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57434 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101257953 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0080483 Maryland

Profile Details

NPI number 1376771279
LBN Legal business name Obi, Evangeline C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2009
Last updated Feb 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376771279 NPPES
Maryland MEDICAID 581045100

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