| Rhaba Health Llc | |
|
6305 Ivy Ln Ste 260 Greenbelt MD 20770-6372 | |
| (240) 593-3792 | |
| Not Available |
| Full Name | Rhaba Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6305 Ivy Ln Ste 260, Greenbelt, Maryland |
| Authorized Official Name and Position | Chantal Fokum (OWNER) |
| Authorized Official Contact | 2405933792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhaba Health Llc 1512 Lakspur Ct Huntingtown MD 20639 Ph: (240) 593-3792 | Rhaba Health Llc 6305 Ivy Ln Ste 260 Greenbelt MD 20770-6372 Ph: (240) 593-3792 |
| NPI Number | 1588353098 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 7618337510 |
|---|---|
| Medicare Enrollment ID | O20230724000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588353098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chantal Nyefen Fokum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558026542 PECOS PAC ID: 8224429998 Enrollment ID: I20220107000170 |
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