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Iheanyi C Uwanamodo

Anesthesiology

Allopathic & Osteopathic Physicians

15005 Shady Grove Rd Ste 200, Rockville, MD 20850-6358

PECOS Enrollment

This provider is enrolled in PECOS as IHEANYI UWANAMODO.

Based on the most recent information from CMS, provider Iheanyi C Uwanamodo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 1:10 PM.

Profile Details

Provider ID
1386623205
Provider Type
Individual
Full Name
Uwanamodo, Iheanyi C
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/10/2006
Last Updated
9/20/2022

Contact Information

Practice Location

15005 Shady Grove Rd Ste 200, Rockville, MD 20850-6358

(301) 523-0203

(301) 515-7870

Mailing Location

20119 Cider Barrel Dr, Germantown, MD 20876-2708

(301) 523-0203

(301) 515-7870

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License D0055686 Maryland

Iheanyi C Uwanamodo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cho, Won Suk

Visnich, Nicholus

Lee, Won Sang

Baten, Mohammad O

Meshulam, Richard

Ko, Richard Juneyoung

Jach, Michael A

Chen, Edward G

Yun, Jungim Amy

Gabrielli, Tamara H