MEDICARE: INSIGHT MEDICAL CENTER LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1942073531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	528 DUSK VIEW DR
Second Line	:
City	:	HAVRE DE GRACE
State	:	MD
Zip	:	21078-2368
Country	:	US
Telephone Number	:	443-415-8427
Fax Number	:

Provider Business Practice Location Address
First Line	:	1531 S EDGEWOOD ST STE C
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-1138
Country	:	US
Telephone Number	:	443-415-8427
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADEDAYO B AKINLOFA
Credential	:	DNP, CRNP
Telephone Number	:	443-415-8427

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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