Theresa E Ngwana-mondoa, MD | |
9901 Medical Center Dr, Rockville, MD 20850-3357 | |
(301) 279-6480 | |
Not Available |
Full Name | Theresa E Ngwana-mondoa |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9901 Medical Center Dr, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275523557 | NPI | - | NPPES |
3840018 | Medicaid | MD | |
3810012438 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0057882 (Maryland) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | D0057882 (Maryland) | Secondary |
Entity Name | Mgmc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
Mailing Address | Practice Location Address |
---|---|
Theresa E Ngwana-mondoa, MD Po Box 100445, Atlanta, GA 30384-0445 Ph: (888) 627-4702 | Theresa E Ngwana-mondoa, MD 9901 Medical Center Dr, Rockville, MD 20850-3357 Ph: (301) 279-6480 |
Stacy B Stryer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 | |
Dr. Faith E. Frankel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1684 E Gude Dr, Rockville, MD 20850 Phone: 301-217-9222 | |
Avril M Houston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5600 Fishers Lane, Rockville, MD 20857 Phone: 301-443-0842 | |
Mesfin Woldesenbet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-7392 Fax: 240-826-5388 | |
Dr. Aglae Economides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Executive Blvd, Suite 625, Rockville, MD 20852 Phone: 240-314-7080 | |
Dr. Stanley J Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 East Jefferson Street, Rockville, MD 20852 Phone: 301-816-6425 Fax: 301-816-7115 | |
Paul Sergio Porras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 |