Dr Itoro Ibia, MD - Psychiatry & Neurology in Reston, VA

Dr Itoro Ibia, MD is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Reston, Virginia. Dr Itoro Ibia is licensed to practice in Virginia (license number 0101223034) and her current practice location is 11701 Bowman Green Dr, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 707-9777.

NPI number for Dr Itoro Ibia is 1356338206 and her current mailing address is Po Box 2963, Reston, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356338206.

Contact Information

Dr Itoro Ibia, MD
11701 Bowman Green Dr,
Reston, VA 20190-3573
(703) 707-9777
(703) 707-0690

Map and Direction




Physician's Profile

Full NameDr Itoro Ibia
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location11701 Bowman Green Dr, Reston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356338206
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Itoro Ibia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356338206NPI-NPPES
F480-0001OtherCARE FIRST BCBS ID
2037353OtherCIGNA ID
466688OtherVAANTHEM BCBS ID
7267195OtherAETNA PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 0101223034 (Virginia)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 0101223034 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Itoro Ibia is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Itoro Ibia, MD
Po Box 2963,
Reston, VA 20195-0963

Ph: (703) 707-9777
Dr Itoro Ibia, MD
11701 Bowman Green Dr,
Reston, VA 20190-3573

Ph: (703) 707-9777

Reviews and Comments


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