Chiriboga, Carlos
Chiriboga, Carlos is an individual health care provider with primary practice located at 7503 Surratts Road , Clinton MD 20735-3395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Chiriboga, Carlos can be contacted via phone (301) 870-7001.Contact Information
Primary practice address
7503 Surratts Road
Clinton MD 20735-3395
Phone: (301) 870-7001
Fax: (301) 870-6697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0029896 | Maryland |
Profile Details
| NPI number | 1154311231 |
|---|---|
| LBN Legal business name | Chiriboga, Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jan 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154311231 | NPPES |
| Maryland | MEDICAID | 415527100 /377751100 |
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