MEDICARE: ADAMU MBUNWE ROLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1205651890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAMU MBUNWE ROLAND

Provider Business Mailing Address
First Line	:	6319 LANDOVER RD APT 204
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1320
Country	:	US
Telephone Number	:	240-467-7377
Fax Number	:

Provider Business Practice Location Address
First Line	:	6319 LANDOVER RD APT 204
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1320
Country	:	US
Telephone Number	:	240-467-7377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

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Directions to “ ADAMU MBUNWE ROLAND ” Practice Location

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