| Chivic Healthcare Services Llc | |
|
9470 Annapolis Rd Ste 416 Lanham MD 20706-3000 | |
| (202) 735-1010 | |
| Not Available |
| Full Name | Chivic Healthcare Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9470 Annapolis Rd Ste 416, Lanham, Maryland |
| Authorized Official Name and Position | Ndidiamaka Ezinne Mbakpuo (MANAGING DIRECTOR) |
| Authorized Official Contact | 3017124637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chivic Healthcare Services Llc 7525 Greenway Center Dr Ste 316 Greenbelt MD 20770-3525 Ph: (202) 735-1010 | Chivic Healthcare Services Llc 9470 Annapolis Rd Ste 416 Lanham MD 20706-3000 Ph: (202) 735-1010 |
| NPI Number | 1730784398 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 6800208430 |
|---|---|
| Medicare Enrollment ID | O20201223001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730784398 | NPI | - | NPPES |
| Provider Name | Ndidiamaka Ezinne Mbakpuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336638089 PECOS PAC ID: 4981016516 Enrollment ID: I20201223001348 |
| Provider Name | Marianne Bitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952379604 PECOS PAC ID: 7517951718 Enrollment ID: I20210511002679 |
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