Clark, Maiya Yetunde Elon
Clark, Maiya Yetunde Elon is an individual health care provider with primary practice located at 344 University Blvd W Suite 325, Silver Spring MD 20901-1948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Maiya Yetunde Elon can be contacted via phone (301) 593-5440.Contact Information
Primary practice address
344 University Blvd W Suite 325
Silver Spring MD 20901-1948
Phone: (301) 593-5440
Fax: (301) 593-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0061964 | Maryland |
Profile Details
| NPI number | 1295760908 |
|---|---|
| LBN Legal business name | Clark, Maiya Yetunde Elon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 26th, 2011 - about 15 years 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 | 1295760908 | NPPES |
| Maryland | MEDICAID | 406773800 |
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