Healthcare Provider Details
I. General information
NPI: 1912094954
Provider Name (Legal Business Name): MARIA KAYAGA D'ARBELA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 FOREST GLEN RD HOSPITALISTS - GROUND FLOOR
SILVER SPRING MD
20910-1483
US
IV. Provider business mailing address
PO BOX 83819
GAITHERSBURG MD
20883-3819
US
V. Phone/Fax
- Phone: 301-754-7991
- Fax: 301-754-7990
- Phone: 301-538-4438
- Fax: 301-460-3394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | D0062520 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: