| Osagie Uwadia Ighile, MD | |
|
9384 Forestwood Ln Ste A, Manassas, VA 20110-4748 | |
| (703) 369-2999 | |
| (703) 369-3118 |
| Full Name | Osagie Uwadia Ighile |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 8 Years |
| Location | 9384 Forestwood Ln Ste A, Manassas, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992236236 | NPI | - | NPPES |
| 0409682 | Medicaid | OH | |
| 0105065 | Other | OH | MEDICAID GROUP |
| 341689161 | Other | OH | TAX ID- JTDM FAMILY PRACTICE, LLC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101282571 (Virginia) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Osagie Uwadia Ighile, MD 9384 Forestwood Ln Ste A, Manassas, VA 20110-4748 Ph: (703) 369-2999 | Osagie Uwadia Ighile, MD 9384 Forestwood Ln Ste A, Manassas, VA 20110-4748 Ph: (703) 369-2999 |
Arthur G. Gower, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9001 Digges Rd, Suite 107, Manassas, VA 20110 Phone: 703-368-9131 Fax: 703-368-2038 | |
Dr. Robin Elizabeth Brodie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8650 Sudley Rd, Suite 306, Manassas, VA 20110 Phone: 703-393-9494 Fax: 703-393-8591 | |
Dr. Jennifer Therese Bradford, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10623 Crestwood Dr, Manassas, VA 20109 Phone: 703-361-7131 Fax: 703-330-2065 | |
Hussien A Al-shammaa, M. D.,F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 9705 Liberia Ave, Manassas, VA 20110 Phone: 703-680-7950 | |
Dr. Sanjay Lamba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 Rolling Rd, Ste 100, Manassas, VA 20110 Phone: 703-361-3870 | |
Batoul Elamin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8134 | |
Chiquitia Jenee Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8640 Sudley Rd Ste 306, Manassas, VA 20110 Phone: 703-330-3939 Fax: 703-331-0959 |