Individual
ADA UKPAI EMARIEVBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5000
Mailing address
9308 CANTERBURY RIDING, LAUREL, MD 20723-1426
(973) 809-1372
(240) 786-5646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MTL001065
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2010
Last updated
06/17/2021
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