| Peter A Swaby Do Llc | |
|
4000 Mitchellville Rd Suite 422 Bowie MD 20716-3104 | |
| (301) 809-6206 | |
| (301) 809-6225 |
| Full Name | Peter A Swaby Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Mitchellville Rd, Bowie, Maryland |
| Authorized Official Name and Position | Eno Y Inyangswaby (OFFICE MANAGER) |
| Authorized Official Contact | 3018096206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter A Swaby Do Llc 4000 Mitchellville Rd Suite 422 Bowie MD 20716-3104 Ph: (301) 809-6206 | Peter A Swaby Do Llc 4000 Mitchellville Rd Suite 422 Bowie MD 20716-3104 Ph: (301) 809-6206 |
| NPI Number | 1417081043 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709042385 |
|---|---|
| Medicare Enrollment ID | O20120726000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417081043 | NPI | - | NPPES |
| 698302200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H0052843 (Maryland) | Primary |
| Provider Name | Peter A Swaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508972266 PECOS PAC ID: 2961668546 Enrollment ID: I20120726000110 |
| Provider Name | Edwin Juma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781875 PECOS PAC ID: 8729498589 Enrollment ID: I20201105001418 |
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