Individual
ABRAHAM BAKE DABELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4404 QUEENSBURY RD, RIVERDALE, MD 20737-1068
(301) 779-1949
(301) 699-1703
Mailing address
6810 MELODY LN, BETHESDA, MD 20817-2923
(301) 469-4856
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD9880
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04794
AMERIGROUP
MD
05
—
315771700
—
MD
01
—
7596 0001
CAREFIRST BLUECROSS BLUES
MD
Enumeration date
07/30/2006
Last updated
07/09/2007
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