MEDICARE: DIANNA E ABNEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0043633	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1982753877	OTHER	MD	GROUP NPI FOR PEDIATRIC AFTER HOURS
3	5228-0001	OTHER	DC	BCBS NCA PIN FOR PEDIATRIC AFTER HOURS
4	188876-189334	OTHER	VA	BCBS VA PIN FOR PEDIATRIC AFTER HOURS
5	KH18PE-54406404	OTHER	MD	BCBS MD PIN FOR PEDIATRIC AFTER HOURS

General Provider Information

NPI Number	:	1801885090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNA E ABNEY M.D.

Provider Business Mailing Address
First Line	:	3500 OLD WASHINGTON RD
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-3224
Country	:	US
Telephone Number	:	301-645-1133
Fax Number	:	301-645-2369

Provider Business Practice Location Address
First Line	:	3500 OLD WASHINGTON RD
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-3224
Country	:	US
Telephone Number	:	301-645-1133
Fax Number	:	301-645-2369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	06/18/2009

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Directions to “ DIANNA E ABNEY M.D.” Practice Location

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