Individual
DR. TOM GHOBRIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12252 WILLIAMS RD SE, SUITE 101, CUMBERLAND, MD 21502-7960
(240) 362-7333
(240) 362-7391
Mailing address
12252 WILLIAMS RD SE, SUITE 101, CUMBERLAND, MD 21502-7960
(240) 362-7333
(240) 362-7391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0051379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098553000
—
MD
01
—
200039203
RAILROAD MEDICARE
MD
01
—
451653
MAMSI/MDIPA/ALLIANCE
MD
01
—
6529101-004
CIGNA
MD
05
—
745163600
—
MD
01
—
LQ21
BLUE SHIELD MARYLAND
MD
01
—
WO33
CAPITOL BLUE SHIELD
MD
Enumeration date
03/29/2006
Last updated
02/08/2012
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