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NPI Code Detail

MEDICARE: DR. IJEOMA MAUREEN MUO MD, MPH

MEDICARE: DR. IJEOMA MAUREEN MUO MD, MPH
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
1207R00000XInternal Medicine Physician256080-1NY
2207R00000XInternal Medicine Physician0101247787VA
3207R00000XInternal Medicine PhysicianS3254TX

General Provider Information

NPI Number : 1528380078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IJEOMA MAUREEN MUO MD, MPH
Provider Business Mailing Address
First Line : 10 NORTH GREENE STREET, GRECC, BT/18/GR
Second Line : BALTIMORE VAMC,
City : BALTIMORE
State : MD
Zip : 21201
Country : US
Telephone Number : 410-605-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-378-0855
Fax Number : 817-378-0861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 09/19/2019

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