Omohundro, Phillip H
Omohundro, Phillip H is an individual health care provider with primary practice located at 12200 Annapolis Rd Ste 123 , Glenn Dale MD 20769-9182. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Omohundro, Phillip H can be contacted via phone (301) 364-9292.Contact Information
Primary practice address
12200 Annapolis Rd Ste 123
Glenn Dale MD 20769-9182
Phone: (301) 364-9292
Fax: (855) 291-3304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD13399 | District of Columbia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D25458 | Maryland |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0025458 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD13399 | District of Columbia |
Profile Details
| NPI number | 1871553594 |
|---|---|
| LBN Legal business name | Omohundro, Phillip H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jan 8th, 2024 - about 8 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871553594 | NPPES |
| Maryland | MEDICAID | 0150330001 |
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