SearchMarylandIndependent Duty Corpsman

Komi Gayakpa, IDC

NPI 1013526995 · on the registry since 2020 · sole proprietor

Practice

Address
1060 W Perimeter Rd
Jb Andrews, MD 20762
Phone
(651) 354-8825
Organisation at this address
316th Medgrp-Malcolm Grow
Malcolm Grow Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
152

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2022-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland