Individual
DR. ROLAND P SABUNDAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SAINT PAUL PL, PHYS OFFICE BLDG., SUITE 907, BALTIMORE, MD 21202-2102
(410) 659-0808
(410) 547-8523
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0052113
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326902700
—
MD
01
—
KF68/ 548454-01
BC/BS OF MD
MD
01
—
S190/ 0060
BLUE CHOICE
MD
Enumeration date
06/02/2006
Last updated
12/17/2009
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