Search › Maryland › 207XS0114X
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 CenterInferred 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