Healthcare Provider Details

I. General information

NPI: 1740783539
Provider Name (Legal Business Name): ESNO HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 MAPLE LAWN BLVD STE 350
FULTON MD
20759-2683
US

IV. Provider business mailing address

8115 MAPLE LAWN BLVD STE 350
FULTON MD
20759-2683
US

V. Phone/Fax

Practice location:
  • Phone: 240-786-4527
  • Fax: 541-314-9497
Mailing address:
  • Phone: 240-786-4527
  • Fax: 541-314-9497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. OBINNA OBIEJEMBA
Title or Position: MANAGING MEMBER
Credential: CRNP
Phone: 410-800-3440