Organization
IVANA HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA ROLLINS (BILLING MANAGER)
(410) 719-0020
Entity
Organization
Contact information
Practice address
3619 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
(240) 413-4881
Mailing address
3619 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
(240) 413-4881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0085313
MD STATE
MD
Enumeration date
08/05/2021
Last updated
09/13/2021
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