Provider Type Icon

INNOCENT MONYA-TAMBI MD NPI 1386829679


NPI Information

NPI: 1386829679
Provider Name: INNOCENT MONYA-TAMBI, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1709 ROSEMONT AVE
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5999
Get Directions

Innocent Monya-tambi, MD is an internal medicine in Frederick, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Innocent Monya-tambi, MD NPI is 1386829679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1709 ROSEMONT AVE
FREDERICK, MD
ZIP 21702-135
Phone: (301) 624-5999
Fax: (301) 624-5997

The NPI 1386829679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2008 and was last updated on 10/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineFM4237942MARYLANDNo
2207R00000XInternal MedicineFM3900518VIRGINIANo
3207R00000XInternal Medicine265253NEW YORKNo
4207R00000XInternal MedicineMD448694PENNSYLVANIANo
5207R00000XInternal MedicineM80945MARYLANDNo
6207R00000XInternal MedicineD0076463MARYLANDNo
7207R00000XInternal MedicineFM4310683PENNSYLVANIANo
8207R00000XInternal Medicine0101254880VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D0076463OTHERMARYLANDMEDICAL LICENSE
2Q012138MEDICAIDTENNESSEE
3M80945OTHERMARYLANDCONTROLLED SUBSTANCE LICENSE
4FM3900518OTHERVIRGINIADEA LICENSE
5265253OTHERNEW YORKMEDICAL LICENSE
6FM4237942OTHERMARYLANDDEA LICENSE
71386829679MEDICAIDVIRGINIA
8MD448694OTHERPENNSYLVANIAMEDICAL LICENSE
90101254880OTHERVIRGINIAMEDICAL LICENSE
10FM4310683OTHERPENNSYLVANIADEA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.