Healthcare Provider Details

I. General information

NPI: 1205783693
Provider Name (Legal Business Name): ACCESSCARE TELEHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 GRAIDEN ST
UPPER MARLBORO MD
20774-1817
US

IV. Provider business mailing address

211 GRAIDEN ST
UPPER MARLBORO MD
20774-1817
US

V. Phone/Fax

Practice location:
  • Phone: 240-544-8707
  • Fax:
Mailing address:
  • Phone: 240-544-8707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: OBY A ATTA
Title or Position: NP
Credential: CRNP
Phone: 301-801-3365