| Obiaghanwa S Ugbana, MD | |
|
25500 Point Lookout Rd Fl 1, Leonardtown, MD 20650 | |
| (240) 434-7154 | |
| (301) 475-6190 |
| Full Name | Obiaghanwa S Ugbana |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 25500 Point Lookout Rd Fl 1, Leonardtown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730177866 | NPI | - | NPPES |
| 1807260000 | Other | WV | MEDICAID |
| 64036684 | Other | KY | MEDICAID |
| 2184890 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35075907 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35.075907 (Ohio) | Secondary |
| 208000000X | Pediatrics | D88070 (Maryland) | Primary |
| Entity Name | Mgmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Obiaghanwa S Ugbana, MD 25500 Point Lookout Rd Fl 1, Leonardtown, MD 20650-2015 Ph: (240) 434-7154 | Obiaghanwa S Ugbana, MD 25500 Point Lookout Rd Fl 1, Leonardtown, MD 20650 Ph: (240) 434-7154 |
Catherine Ingard, Pediatrics Medicare: Medicare Enrolled Practice Location: 26840 Point Lookout Rd, Shanti Medical Center Suites 5 And 6, Leonardtown, MD 20650 Phone: 301-475-4610 | |
Manthan Subhashchandra Jaiswal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-6088 | |
Mr. Amarpreet S Dhillon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22811 Washington Street, Leonardtown, MD 20650 Phone: 301-475-9499 Fax: 301-475-8901 | |
Dr. Erin L. Hickey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25500 Point Lookout Road, Leonardtown, MD 20650 Phone: 301-475-8981 | |
Dr. Kiritkumar K Patel, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40855 Merchants Ln, Leonardtown, MD 20650 Phone: 301-475-8833 |