Mutsa Nyakabau, | |
201 S Cleveland Ave, Hagerstown, MD 21740-5745 | |
(301) 745-3777 | |
(301) 393-3459 |
Full Name | Mutsa Nyakabau |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 201 S Cleveland Ave, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568859437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | D0085119 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
Mailing Address | Practice Location Address |
---|---|
Mutsa Nyakabau, 1502 Heather Hollow Cir, Apt. 34, Silver Spring, MD 20904-2373 Ph: (703) 869-2785 | Mutsa Nyakabau, 201 S Cleveland Ave, Hagerstown, MD 21740-5745 Ph: (301) 745-3777 |
Dr. Albert John Strauss Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 E Antietam St, Hagerstown, MD 21740 Phone: 301-790-3620 Fax: 301-797-2863 | |
Dr. Naheed F Saif, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Mill St, Hagerstown, MD 21740 Phone: 240-420-0333 Fax: 240-420-0113 | |
Dr. Bruce Edward Weneck, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Memorial Blvd W, Hagerstown, MD 21740 Phone: 301-791-7060 Fax: 301-791-8990 | |
Dr. Paul Joseph Andrew Hennis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 S Cleveland Ave, Hagerstown, MD 21740 Phone: 301-745-3777 | |
Chukwuemeka Obidi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 303 Memorial Blvd W, Hagerstown, MD 21740 Phone: 301-791-7060 Fax: 301-791-8990 | |
Dr. Atchuthanand Budi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Opal Court, Hagerstown, MD 21740 Phone: 301-791-6666 Fax: 301-791-4549 | |
Leon D Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1161 Omega Dr, Hagerstown, MD 21740 Phone: 301-393-2600 Fax: 301-393-2614 |