Itoro Ibia is a Psychiatry in Reston, Virginia. Itoro Ibia practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Itoro Ibia is 1356338206. The last update date is 2007-07-08.
Itoro Ibia's current location address is Po Box 2963, Reston, Virginia. You can contact this provider via phone number 7037079777 and fax number 7037070690. The mailing address for Itoro Ibia is Po Box 2963, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Itoro Ibia |
|---|---|
| Address | Po Box 2963, Reston, Virginia |
| Phone Number | 7037079777 |
| Fax Number | 7037070690 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356338206 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2963 |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201950963 |
| Phone Number | 7037079777 |
| Fax Number | 7037070690 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 101223034 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F480-0001 | CARE FIRST BCBS ID | ||
| 2037353 | CIGNA ID | ||
| 466688 | VA | ANTHEM BCBS ID | |
| 7267195 | AETNA PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Itoro Ibia by the Centers for Medicare & Medicaid Services?
The Itoro Ibia has been issued the NPI (National Provider Identifier) 1356338206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Itoro Ibia located?
The Itoro Ibia is located at Po Box 2963, Reston, VA 201950963.
What is the Itoro Ibia's area of specialization and corresponding taxonomy classification?
The Itoro Ibia's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
When did Itoro Ibia receive its 1356338206 assignment?
The Itoro Ibia was assigned its 1356338206 on 2005-10-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Itoro Ibia most recently updated or refreshed?
The details pertaining to the Itoro Ibia, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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