| Ivana Healthcare Services, Inc | |
|
3619 Celeste Bruce Cir Bowie MD 20721-2287 | |
| (240) 413-4881 | |
| Not Available |
| Full Name | Ivana Healthcare Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3619 Celeste Bruce Cir, Bowie, Maryland |
| Authorized Official Name and Position | Sylvia Rollins (BILLING MANAGER) |
| Authorized Official Contact | 4107190020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivana Healthcare Services, Inc 3619 Celeste Bruce Cir Bowie MD 20721-2287 Ph: (240) 413-4881 | Ivana Healthcare Services, Inc 3619 Celeste Bruce Cir Bowie MD 20721-2287 Ph: (240) 413-4881 |
| NPI Number | 1184398877 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8527463405 |
|---|---|
| Medicare Enrollment ID | O20210817000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184398877 | NPI | - | NPPES |
| D0085313 | Other | MD | MD STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kolapo Idowu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285020867 PECOS PAC ID: 3476800038 Enrollment ID: I20180730003379 |
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