Healthcare Provider Details

I. General information

NPI: 1316544521
Provider Name (Legal Business Name): CORDIAL HEALTH CARE CONSORTIUM OF PROVIDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9821 GREENBELT RD
LANHAM MD
20706-2265
US

IV. Provider business mailing address

9821 GREENBELT RD
LANHAM MD
20706-2265
US

V. Phone/Fax

Practice location:
  • Phone: 301-220-3500
  • Fax: 301-982-0321
Mailing address:
  • Phone: 301-220-3500
  • Fax: 301-982-0321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE JAMES-OSONDU
Title or Position: CEO
Credential: DNP
Phone: 972-408-8364