Individual
DR. FADIA MABROUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
104 PLUMTREE RD, SUITE 115, BEL AIR, MD 21015-6095
(410) 515-4300
(410) 515-4318
Mailing address
3814 FAIRHAVEN TER, ABINGDON, MD 21009-2046
(410) 515-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0028558
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
CAREFIRST DC
—
01
—
012333
JOHNS HOPKINS HEALTHCARE
—
01
—
113527
COVENTRY
—
01
—
1164938
CIGNA
—
05
—
1201790
—
MD
01
—
1978378
UNITED HEALTHCARE
—
01
—
2310489
AETNA HMO
—
01
—
281939
MAMSI
—
01
—
39960901
CAREFIRST MARYLAND
—
01
—
4674514
AETNA PPO
—
01
—
700302
NCPPO
—
05
—
93009
—
MD
01
—
9966
KAISER
—
Enumeration date
07/09/2006
Last updated
11/05/2021
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