| Anya Medical Spa And Behavioral Healthcare Llc | |
|
8868 Belair Rd Nottingham MD 21236-2401 | |
| (102) 135-2534 | |
| (301) 805-8057 |
| Full Name | Anya Medical Spa And Behavioral Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8868 Belair Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Chinyere Kalu (PRESIDENT) |
| Authorized Official Contact | 4102135253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anya Medical Spa And Behavioral Healthcare Llc 7503 Newburg Dr Lanham MD 20706-4608 Ph: (410) 213-5253 | Anya Medical Spa And Behavioral Healthcare Llc 8868 Belair Rd Nottingham MD 21236-2401 Ph: (102) 135-2534 |
| NPI Number | 1780267542 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0042610792 |
|---|---|
| Medicare Enrollment ID | O20210616003771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780267542 | NPI | - | NPPES |
| Provider Name | Chinyere E Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201952 PECOS PAC ID: 7911273008 Enrollment ID: I20171017002375 |
| Provider Name | Nwamaka F Ezike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740805613 PECOS PAC ID: 9739584590 Enrollment ID: I20210818000335 |
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