Kiwanuka, James M

Kiwanuka, James M is an sole proprietor health care provider with primary practice located at 935 Russell Ave , Gaithersburg MD 20879-3291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kiwanuka, James M can be contacted via phone (301) 926-7891.

Contact Information

Primary practice address
935 Russell Ave Gaithersburg MD 20879-3291
Phone: (301) 926-7891
Fax: (301) 926-7892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0027070 Maryland

Profile Details

NPI number 1811951049
LBN Legal business name Kiwanuka, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Sep 14th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811951049 NPPES
Maryland Other 04021 AMERIGROUP MCO
Maryland Other 1200792 AMERIGROUP MCO
Maryland Other 41835 AMERIGROUP MCO
Maryland Other 4303JM AMERIGROUP MCO
Maryland MEDICAID 644721000 AMERIGROUP MCO

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