Provider Demographics
NPI:1083450514
Name:ANIBOLU, CHRISTABELLE B
Entity type:Individual
Prefix:MRS
First Name:CHRISTABELLE
Middle Name:B
Last Name:ANIBOLU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7102 CIPRIANO SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3835
Mailing Address - Country:US
Mailing Address - Phone:443-857-0110
Mailing Address - Fax:
Practice Address - Street 1:7102 CIPRIANO SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3835
Practice Address - Country:US
Practice Address - Phone:443-857-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator