Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASIL E FOMANKA
Active Sole ProprietorBASIL E FOMANKA is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in RIVERDALE, Maryland. NPI 1013621010 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · RIVERDALE, MD
Registration Details
- NPI Number
- 1013621010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2023 (3.5439861389146 yrs)
- Last Updated
- Sep 18, 2025
- License
-
R198010 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6200 BALTIMORE AVE300-R9RIVERDALE, MD, 207371054Browse MD providers · Browse ZIP 20737
- Phone
- 4435208138
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in RIVERDALE, MD
| Name | Credential | NPI |
|---|---|---|
| BOSEDE M ADELEYE | PMHNP | 1659629798 |
| NKECHI NIKKI FRANCA UKWANDU | MSN PMHMNP | 1770142093 |
| DOROTHY AKAKEM | — | 1790352649 |
| JOHN ADELAJA ADELEYE | CRNP-PMH | 1780332106 |
| AKUNNA CHISOM IKOCHA | — | 1124837810 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.