Jean-marie Kakubudia Mpoy Kanyinda, MD | |
7401 Granby St, Norfolk, VA 23505-3406 | |
(757) 388-9925 | |
(757) 793-4145 |
Full Name | Jean-marie Kakubudia Mpoy Kanyinda |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7401 Granby St, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700809894 | NPI | - | NPPES |
F3629 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 95307 (New Mexico) | Secondary |
207R00000X | Internal Medicine | 0101254723 (Virginia) | Primary |
Entity Name | M Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20221109000050 |
Mailing Address | Practice Location Address |
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Jean-marie Kakubudia Mpoy Kanyinda, MD 7401 Granby St, Norfolk, VA 23505-3406 Ph: (757) 388-9925 | Jean-marie Kakubudia Mpoy Kanyinda, MD 7401 Granby St, Norfolk, VA 23505-3406 Ph: (757) 388-9925 |
Ranjana Neelanjana Mitra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Kempsville Rd Fl 1, Norfolk, VA 23502 Phone: 757-261-8070 | |
Arunava Paul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Kempsville Rd, Norfolk, VA 23502 Phone: 757-967-8622 Fax: 757-686-0541 | |
Abbas Asgher Ali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Ste B, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 | |
Peter B Laplace, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 426 E Freemason St, Norfolk, VA 23510 Phone: 757-623-6072 Fax: 757-623-9748 | |
Dr. Dace Auzins, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6316 Richmond Cres, Norfolk, VA 23508 Phone: 757-423-8560 | |
Dr. John S Carrick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Kempsville Rd, 1st Fl, Norfolk, VA 23502 Phone: 757-261-5283 Fax: 757-261-5849 | |
Dr. Rajden Kutelia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 |