Dabela, Abraham Bake

Dabela, Abraham Bake is an individual health care provider with primary practice located at 4404 Queensbury Rd , Riverdale MD 20737-1068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dabela, Abraham Bake can be contacted via phone (301) 779-1949.

Contact Information

Primary practice address
4404 Queensbury Rd Riverdale MD 20737-1068
Phone: (301) 779-1949
Fax: (301) 699-1703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD9880 District of Columbia

Profile Details

NPI number 1518972306
LBN Legal business name Dabela, Abraham Bake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518972306 NPPES
Maryland Other 04794 AMERIGROUP
Maryland Other 7596 0001 AMERIGROUP
Maryland MEDICAID 315771700 AMERIGROUP

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