Individual
MARIA C ABELEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 W RIDGE RD, SUITE 220, WYTHEVILLE, VA 24382-1046
(276) 223-3329
(276) 223-0478
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1046
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101046910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945298
—
VA
01
—
168629
VALUE OPTIONS
VA
01
—
170432000
MAGELLAN
—
01
—
244611
ANTHEM
VA
01
—
25449400
MAGELLAN
—
01
—
258140
ANTHEM
VA
01
—
258141
ANTHEM
VA
01
—
260029949
MEDICARE RAILROAD
—
01
—
C04812
MEDICARE GROUP NUMBER
VA
Enumeration date
03/29/2006
Last updated
11/19/2012
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