NPI 1821381849 · live from the CMS NPI Registry
Isabella A Ahanogbe, M.D.
Family Medicine in Upper Marlboro, MD. National Provider Identifier 1821381849, active.
NPI record
| NPI | 1821381849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1221 Mercantile Ln, Upper Marlboro, MD 20774 |
| Practice phone | 301-761-8155 |
| Enumerated | May 24, 2011 |
| Last updated | June 25, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | MT199390 (PA) |
| Family Medicine primary | 207Q00000X | 042004 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.