Provider Demographics
NPI:1730261678
Name:PARKWAY MEDICAL ASSOCIATION LLC
Entity type:Organization
Organization Name:PARKWAY MEDICAL ASSOCIATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KUNMI
Authorized Official - Middle Name:OLALEKAN
Authorized Official - Last Name:MAJEKODUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-760-0098
Mailing Address - Street 1:1504 EDGE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-1101
Mailing Address - Country:US
Mailing Address - Phone:410-760-0098
Mailing Address - Fax:410-761-9131
Practice Address - Street 1:1916 CRAIN HWY S STE 10
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5565
Practice Address - Country:US
Practice Address - Phone:410-760-0098
Practice Address - Fax:410-761-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty