| Geewab Medicals Llc | |
|
13 C St Ste A Laurel MD 20707-4152 | |
| (301) 356-3379 | |
| Not Available |
| Full Name | Geewab Medicals Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13 C St Ste A, Laurel, Maryland |
| Authorized Official Name and Position | Glory Ihuoma Wabeke (NURSE PRACTITIONER) |
| Authorized Official Contact | 4435540259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geewab Medicals Llc 14502 Greenview Dr Ste 500 Laurel MD 20708-4245 Ph: (301) 356-3379 | Geewab Medicals Llc 13 C St Ste A Laurel MD 20707-4152 Ph: (301) 356-3379 |
| NPI Number | 1164186227 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 3971994724 |
|---|---|
| Medicare Enrollment ID | O20220105001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164186227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Glory Ihuoma Wabeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598432429 PECOS PAC ID: 7214328178 Enrollment ID: I20220106000821 |
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