Individual
SUJATA QASBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3450 FORT MEADE RD, SUITE #103, LAUREL, MD 20724-2040
(301) 776-2700
(301) 776-4213
Mailing address
6302 MORNING DEW CT, CLARKSVILLE, MD 21029-1150
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D33725
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100243
AETNA HMO
—
01
—
0213115
CIGNA
—
05
—
07978
—
MD
01
—
1200660
UNITED HEALTH CARE
—
05
—
1200660
—
MD
01
—
213741
ALLIANCE PPO
—
01
—
34269
COVENTRY
—
01
—
344322
NCPPO
—
01
—
7020
BLUE CROSS/BLUE SHIELD
MD
01
—
72770001
BLUE CROSS/BLUE SHIELD
DC
01
—
813741
MAMSI, MDIPA, OPT. CH.
—
Enumeration date
07/13/2005
Last updated
07/09/2007
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