Organization
NOVARA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL AGBANYIM MD (MD)
(443) 401-5544
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD STE 330, GAMBRILLS, MD 21054-1604
(443) 401-5544
Mailing address
2401 BRANDERMILL BLVD STE 330, GAMBRILLS, MD 21054-1604
(443) 401-5544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/30/2025
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