Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairwood Internal Medicine

Organization Internal Medicine Physician · NPI 1396986873

Fairwood Internal Medicine is an Internal Medicine Physician in Glenn Dale, Maryland. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009

Practice location Address checks out

12200 Annapolis Rd Ste 232
Glenn Dale, MD 20769-9180
Phone: (240) 245-4414
Fax: (240) 245-4409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0051437 (MD)

Record details

NPI number1396986873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Okeowo Ibitoye — Medical Director · (240) 245-4414
NPI enumeratedMarch 13, 2009
Last updated in NPPESJuly 21, 2009
Mailing address12200 Annapolis Rd, Suite 232, Glenn Dale, MD 20769-9180

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