MEDICARE: ROSE PEDIATRICS CARE

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1245038926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE PEDIATRICS CARE

Provider Business Mailing Address
First Line	:	PO BOX 266
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20703-0266
Country	:	US
Telephone Number	:	301-899-3337
Fax Number	:	301-899-6983

Provider Business Practice Location Address
First Line	:	3611 BRANCH AVE STE 403
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1251
Country	:	US
Telephone Number	:	301-899-3337
Fax Number	:	301-899-6983

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. CHINYERE ROSE AMAZU
Credential	:	MD
Telephone Number	:	301-899-3337

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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