1598758443 NPI number — CYNTHIA LOUISE DROGULA M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598758443 NPI number — CYNTHIA LOUISE DROGULA M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

DROGULA

Provider First Name:

CYNTHIA

Provider Middle Name:

LOUISE

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1598758443

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/04/2009

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

203 HOSPITAL DR

Provider Second Line Business Mailing Address:

SUITE B100

Provider Business Mailing Address City Name:

GLEN BURNIE

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

21061-6904

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

410-553-8351

Provider Business Mailing Address Fax Number:

410-553-8352

Provider First Line Business Practice Location Address:

203 HOSPITAL DR

Provider Second Line Business Practice Location Address:

SUITE B100

Provider Business Practice Location Address City Name:

GLEN BURNIE

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

21061-6904

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

410-553-8351

Provider Business Practice Location Address Fax Number:

410-553-8352

Provider Enumeration Date:

08/25/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208600000X , with the licence number:  D0044654 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 5353197 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
• Identifier: P00254286 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 2131125 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
• Identifier: 406923400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 1303080 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 1622878 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 645177-01 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 33525 . This is a "JOHN HOPKINS HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 520689917 . This is a "FIDELITY" identifier . This identifiers is of the category "OTHER".
• Identifier: 704197 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
• Identifier: J6860006 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 3767375 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
• Identifier: 520689917-1 . This is a "CONVENTRY" identifier . This identifiers is of the category "OTHER".