Provider Demographics
NPI:1346391380
Name:MAGBUHOS, CELERINO M (MD)
Entity type:Individual
Prefix:DR
First Name:CELERINO
Middle Name:M
Last Name:MAGBUHOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:6501 LOISDALE CT
Practice Address - Street 2:KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1826
Practice Address - Country:US
Practice Address - Phone:703-922-1000
Practice Address - Fax:703-922-1111
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-12-03
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Provider Licenses
StateLicense IDTaxonomies
VA0101045141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
019368K92Medicare ID - Type Unspecified
E62279Medicare UPIN