MEDICARE: DR. IFEYINWA ARAH STITT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	D0075093	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	268255Y5Z	OTHER	MD	MEDICARE
3	268255ZDWS	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CY310004	OTHER	MD	BCBS

General Provider Information

NPI Number	:	1477539054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IFEYINWA ARAH STITT MD

Provider Business Mailing Address
First Line	:	11886 HEALING WAY STE 520
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7917
Country	:	US
Telephone Number	:	240-524-7272
Fax Number	:	301-890-0869

Provider Business Practice Location Address
First Line	:	11886 HEALING WAY STE 520
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7917
Country	:	US
Telephone Number	:	240-524-7272
Fax Number	:	301-890-0869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	11/08/2025

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