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CECILIA A NWANKWO M D F A A P P C NPI 1164596862


NPI Information

NPI: 1164596862
Provider Name: CECILIA A NWANKWO M D F A A P P C

Doing Business As: CAPITAL PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0927242

Address:
17 FIRSTFIELD RD
SUITE 200
GAITHERSBURG, MD
ZIP 20878
Phone: (301) 330-4243
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CECILIA A NWANKWO M D F A A P P C is a pediatrics in Gaithersburg, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CECILIA A NWANKWO M D F A A P P C NPI is 1164596862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Pediatrics.

The provider's business location address is:

17 FIRSTFIELD RD
SUITE 200
GAITHERSBURG, MD
ZIP 20878-774
Phone: (301) 330-4243
Fax: (301) 963-9114

The provider's authorized official is Cecilia Adaobi Nwankwo .
The authorized official title is Medical Director and has the following contact phone number (301) 330-4243.

The CLIA number assigned to this NPI record is 21D0927242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/16/2012.


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
1208000000XPediatricsD0037545MARYLANDYes

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
10N05CAOTHERMARYLANDBLUE CROSS OF MD
2334511400MEDICAIDMARYLAND
3A362OTHERMARYLANDCAREFIRST PROVIDER NUMBER
4=========OTHERMARYLANDTAX IDENTIFICATION NUMBER

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: 4/28/2024

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