Provider Demographics
NPI:1457652091
Name:ALPHA GLOBAL MEDICAL SERVICES
Entity Type:Organization
Organization Name:ALPHA GLOBAL MEDICAL SERVICES
Other - Org Name:ALPHA GLOBAL SOLUTIONS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:OPEYEMI
Authorized Official - Last Name:ADEYEYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-850-4333
Mailing Address - Street 1:15301 NORWALK CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1259
Mailing Address - Country:US
Mailing Address - Phone:301-850-4333
Mailing Address - Fax:301-576-0824
Practice Address - Street 1:4000 MITCHELLVILLE RD
Practice Address - Street 2:SUITE A406
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3104
Practice Address - Country:US
Practice Address - Phone:301-850-4333
Practice Address - Fax:301-576-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-13
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1649432048OtherNPI