| Triibe Medical Llc | |
|
9500 Medical Center Dr Ste 105 Largo MD 20774-3703 | |
| (301) 615-4133 | |
| (240) 245-2918 |
| Full Name | Triibe Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9500 Medical Center Dr Ste 105, Largo, Maryland |
| Authorized Official Name and Position | Uloma C Ibe (OWNER) |
| Authorized Official Contact | 2027043010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triibe Medical Llc Po Box 27996 Belfast ME 04915-2031 Ph: (301) 615-4133 | Triibe Medical Llc 9500 Medical Center Dr Ste 105 Largo MD 20774-3703 Ph: (301) 615-4133 |
| NPI Number | 1962047159 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 2163852161 |
|---|---|
| Medicare Enrollment ID | O20200415000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962047159 | NPI | - | NPPES |
| 585019301 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Uloma C Ibe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649667940 PECOS PAC ID: 9931494614 Enrollment ID: I20190507000025 |
| Provider Name | Abimbola Hillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112983 PECOS PAC ID: 2163845249 Enrollment ID: I20200708001202 |
| Provider Name | Rohini Manda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053474 PECOS PAC ID: 8628343415 Enrollment ID: I20201105000155 |
Newman Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9500 Medical Center Dr Ste 105, Largo, MD 20774 Phone: 301-615-4133 Fax: 380-390-5398 | |
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