SearchMaryland207XS0114X

Fortune Egbulefu, MD

NPI 1497002471 · on the registry since 2012

Practice

Address
1060 W Perimeter Rd
Jb Andrews, MD 20762
Phone
(888) 999-1212
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
155

Additional practice sites

  • 4700 Las Vegas Blvd N, Nellis Afb, NV
  • 812 Gorman Ave, Elkins, WV
  • 230 Hospital Plz, Weston, WV
  • 330 S Lola Ln Ste 200, Pahrump, NV
  • 29 Hospital Plz Ste C, Weston, WV
  • 801 Gorman Ave, Elkins, WV
  • 9300 Dewitt Loop, Fort Belvoir, VA

Registry record

Primary taxonomy
207XS0114X
207XS0114X
Also registered as
207X00000X
Licence states on file
WV, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-26

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