Mana Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MANA DERMATOLOGY LLC

Practice address

7500 Greenway Center Dr Ste 1220
Greenbelt, MD 20770-3502

Phone

(301) 615-1986

NPI assigned

Oct 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mana Ogholikhan, MDNPI 1316142227

Title

Owner

Phone

(301) 615-1986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mana Ogholikhan, M.D.

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1316142227

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Esther Olajide Manner, PA

  • Medical Physician Assistant
  • Wheaton, MD
  • NPI 1154681914

  DC

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1336748508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1220",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-615-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1220",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-615-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "OGHOLIKHAN",
        "authorized_official_first_name": "MANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-615-1986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Maldonado
• Asia Malik, LCPC
• Kurt Stephen Malkames, D.P.M.
• Tristin Malone, LGPC
• Senait Yetagessu Mamo
• Nadesh Ndoh Mangwi
• Mary Rose Anne Manibog, MD
• Floriano F Mantilla
• Marche Undetectable Hair Systems
• Jocelyn Marcus

• Dermatology Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.