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Individual

DR. SUELA KABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Mailing address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D70277
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0113
CAREFIRST BLUE CHOICE
MD
01
239897
JHHC PRIORITY PARTNERS
MD
05
420211200
MD
01
6436421
AETNA HMO
MD
01
9273557
AETNA PPO
MD
01
968920-01
CAREFIRST BCBS OF MARYLAND
MD
01
P19415
CAREFIRST BCBS POS
MD
Enumeration date
06/14/2007
Last updated
02/24/2013
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