Provider Demographics
NPI:1619118643
Name:ROYAM MEDICAL SERVICES
Entity Type:Organization
Organization Name:ROYAM MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEJEBI
Authorized Official - Middle Name:TORITSEJU
Authorized Official - Last Name:MAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-269-7752
Mailing Address - Street 1:1160 VARNUM ST NE STE 216
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2106
Mailing Address - Country:US
Mailing Address - Phone:202-269-7752
Mailing Address - Fax:202-260-7754
Practice Address - Street 1:1160 VARNUM ST NE STE 216
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2106
Practice Address - Country:US
Practice Address - Phone:202-269-7752
Practice Address - Fax:202-260-7754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-21
Last Update Date:2009-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC38368XXXX-69001880207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty