NPI 1700104882 · live from the CMS NPI Registry
Marcus Akinola Balogun, M.D.
Emergency Medicine in Hyattsville, MD. National Provider Identifier 1700104882, active.
NPI record
| NPI | 1700104882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1835 University Blvd. E, Suite 224, Hyattsville, MD 20783 |
| Practice phone | 301-434-3111 |
| Mailing address | 1835 University Blvd E, Suite 224, Hyattsville, MD 20783 |
| Enumerated | May 13, 2010 |
| Last updated | November 15, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MD16435 (DC) |
| Emergency Medicine | 207P00000X | 0101037847 (VA) |
| Emergency Medicine primary | 207P00000X | D0036000 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.