| Otibhor Igene, MD | |
|
7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | |
| (410) 508-7650 | |
| Not Available |
| Full Name | Otibhor Igene |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7670 Quarterfield Rd, Glen Burnie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134501471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D87115 (Maryland) | Primary |
| 207Q00000X | Family Medicine | 0101267165 (Virginia) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Otibhor Igene, MD 7811 Silver Moon Ct, Severn, MD 21144-3167 Ph: (443) 834-0621 | Otibhor Igene, MD 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 Ph: (410) 508-7650 |
Souvonik Adhya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061 Phone: 410-553-8362 | |
Dr. Dagobert Simo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1403 Madison Park Dr, Glen Burnie, MD 21061 Phone: 410-487-6902 Fax: 410-487-6982 | |
Dr. Risa D. Kramer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr Ste 300, Glen Burnie, MD 21061 Phone: 410-837-2050 Fax: 866-629-0091 | |
Dr. Ratika Sood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061 Phone: 410-553-8362 | |
Amy Ryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr # 300, Glen Burnie, MD 21061 Phone: 410-837-2050 | |
Sharon Y Chung, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7670 Quarterfield Rd, Glen Burnie, MD 21061 Phone: 410-508-7650 |