MEDICARE: IMELDA CABALAR, MD, LLC

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	207RR0500X	Rheumatology Physician	D0068378	MD

General Provider Information

NPI Number	:	1649410879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMELDA CABALAR, MD, LLC

Provider Business Mailing Address
First Line	:	11701 LIVINGSTON RD
Second Line	:	SUITE 309
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5104
Country	:	US
Telephone Number	:	301-203-4263
Fax Number	:

Provider Business Practice Location Address
First Line	:	11701 LIVINGSTON RD
Second Line	:	SUITE 309
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5104
Country	:	US
Telephone Number	:	301-203-4263
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. IMELDA P CABALAR
Credential	:	M.D.
Telephone Number	:	301-203-4263

Provider Enumeration Date	:	02/27/2009
Last Update Date	:	03/16/2009

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