Dr. Eugide Kasongo Othepa, MD
Dr. Eugide Kasongo Othepa, MD is a Family Practice in Berlin, Maryland. Qualified in 2019, 7 years ago. Practices with Tidalhealth Atlantic Inc, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 7
- Licensed in
- MD
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10614 Racetrack Rd Unit 5Berlin, MD 21811-3383
Phone: (410) 208-9761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 7045 Antebellum Way, Frederick, MD 21703-7479 — (571) 458-9569
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D0102990 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639819212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2022 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | July 9, 2025 |
| Mailing address | 7045 Antebellum Way, Frederick, MD 21703-7479 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Tidalhealth Atlantic Inc — 96 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Berlin
-
Theano Alvanos
9730 Healthway Dr, Berlin, MD 21811-1154 · (410) 629-0164
-
Lindsay Brittingham
9730 Healthway Dr, Berlin, MD 21811-1154 · (410) 629-0164
-
Jennifer Lee Giordano
9733 Healthway Dr, Berlin, MD 21811-1155 · (410) 641-1100
-
Miss. Brandee Elaine Hartz
10042 Friendship Rd, Berlin, MD 21811-2848 · (443) 614-2167