Offurum, Ada I.
Offurum, Ada I. is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Offurum, Ada I. can be contacted via phone (410) 328-5793.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-5793
Fax: (410) 328-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D057761 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D57751 | Maryland |
Profile Details
| NPI number | 1598755373 |
|---|---|
| LBN Legal business name | Offurum, Ada I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Feb 20th, 2015 - about 11 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 | 1598755373 | NPPES |
| District of Columbia | MEDICAID | 034350700 | |
| District of Columbia | MEDICAID | 1000021653 | |
| District of Columbia | MEDICAID | 755103700 | |
| District of Columbia | Other | 613252-01 & 02 |
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