MEDICARE: DR. VABIAN LEWITT PADEN 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	208100000X	Physical Medicine & Rehabilitation Physician	D0060744	MD

General Provider Information

NPI Number	:	1255456422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VABIAN LEWITT PADEN M.D.

Provider Business Mailing Address
First Line	:	6710 OXON HILL RD STE 210
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1124
Country	:	US
Telephone Number	:	240-702-2719
Fax Number	:	240-702-2716

Provider Business Practice Location Address
First Line	:	6710 OXON HILL RD STE 210
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1124
Country	:	US
Telephone Number	:	240-702-2719
Fax Number	:	240-702-2716

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	02/01/2020

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