Provider Demographics
NPI:1316521552
Name:GREATER MARYLAND ORTHOPEDICS
Entity type:Organization
Organization Name:GREATER MARYLAND ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:MOGEKWU
Authorized Official - Last Name:AKABUDIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-721-7905
Mailing Address - Street 1:8775 CENTRE PARK DR # 128
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2177
Mailing Address - Country:US
Mailing Address - Phone:667-240-2738
Mailing Address - Fax:443-546-4969
Practice Address - Street 1:5570 STERRETT PL STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2674
Practice Address - Country:US
Practice Address - Phone:917-721-7905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty