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TRIIBE MEDICAL LLC NPI 1962047159


NPI Information

NPI: 1962047159
Provider Name: TRIIBE MEDICAL LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9500 MEDICAL CENTER DR STE 105
LARGO, MD
ZIP 20774
Phone: (301) 615-4133
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TRIIBE MEDICAL LLC is a family medicine in Largo, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRIIBE MEDICAL LLC NPI is 1962047159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9500 MEDICAL CENTER DR STE 105
LARGO, MD
ZIP 20774-703
Phone: (301) 615-4133
Fax: (240) 245-2918

The provider's authorized official is Uloma C Ibe .
The authorized official title is Owner and has the following contact phone number (202) 704-3010.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 6/1/2021.


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
1207Q00000XFamily MedicineYes

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
1585019301MEDICAIDMARYLAND

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

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