Provider Demographics
NPI:1790163418
Name:MAXI CARE OBGYN ASSOCIATES
Entity Type:Organization
Organization Name:MAXI CARE OBGYN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:AKODA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-325-0264
Mailing Address - Street 1:14909 DOWNEY CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3278
Mailing Address - Country:US
Mailing Address - Phone:301-325-0264
Mailing Address - Fax:
Practice Address - Street 1:7100 BALTIMORE AVE
Practice Address - Street 2:STE 510
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3627
Practice Address - Country:US
Practice Address - Phone:301-325-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty