Whalio Doctors

NPI 1003156894

Habakuk INC

Organisation Geriatric Medicine (Family Medicine) Physician Eldersburg, MD

Practice location

Address
1315 Breton Dr, Eldersburg, MD 21784-6137
Phone
(443) 518-6574
Fax
(410) 552-8289

Authorised official

Name
Olayinka Olasimbo
Title
President
Phone
(443) 518-6574

Registered specialties (2)

Geriatric Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QG0300X
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Registry record

NPI
1003156894
Entity type
Organization
NPI issued
15 Feb 2013
Record last updated
15 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.