| Cityworld Family Practice Llc | |
|
7603 Georgia Ave Nw Ste 101 Washington DC 20012-1617 | |
| (202) 658-6844 | |
| (202) 441-2518 |
| Full Name | Cityworld Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7603 Georgia Ave Nw Ste 101, Washington, District Of Columbia |
| Authorized Official Name and Position | Miranda Mbutambe (OWNER) |
| Authorized Official Contact | 2023673927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cityworld Family Practice Llc 6201 Greenbelt Road M14 Berwyn Heights MD 20740-2333 Ph: (202) 367-3927 | Cityworld Family Practice Llc 7603 Georgia Ave Nw Ste 101 Washington DC 20012-1617 Ph: (202) 658-6844 |
| NPI Number | 1073089959 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 5597001107 |
|---|---|
| Medicare Enrollment ID | O20190117002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073089959 | NPI | - | NPPES |
| Provider Name | Miranda Bessem Mbutambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376801118 PECOS PAC ID: 1759643240 Enrollment ID: I20190117002820 |
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