| 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 | Pediatrics | 
| Location | 9384 Forestwood Ln Ste A, Manassas, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 | 
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 | 
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 | 
| 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 |