Provider Demographics
NPI:1346525748
Name:MERCY A. OBAMOGIE, MD, MPH, PC
Entity Type:Organization
Organization Name:MERCY A. OBAMOGIE, MD, MPH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OBAMOGIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-345-5900
Mailing Address - Street 1:7225 HANOVER PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2024
Mailing Address - Country:US
Mailing Address - Phone:301-345-5900
Mailing Address - Fax:301-982-0484
Practice Address - Street 1:7225 HANOVER PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2024
Practice Address - Country:US
Practice Address - Phone:301-345-5900
Practice Address - Fax:301-982-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
MD261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center