Provider Demographics
NPI:1841079464
Name:OASIS FAMILY MEDICAL LLC
Entity type:Organization
Organization Name:OASIS FAMILY MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DNP
Authorized Official - Prefix:DR
Authorized Official - First Name:ABOSEDE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-755-4903
Mailing Address - Street 1:7933 BELLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3329
Mailing Address - Country:US
Mailing Address - Phone:240-755-4903
Mailing Address - Fax:
Practice Address - Street 1:7933 BELLE POINT DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3329
Practice Address - Country:US
Practice Address - Phone:240-755-4903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty