Provider Demographics
NPI:1568527307
Name:GABRIEL, HODA FOUAD (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:HODA
Middle Name:FOUAD
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4407
Mailing Address - Country:US
Mailing Address - Phone:301-698-8711
Mailing Address - Fax:
Practice Address - Street 1:182 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 204
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4407
Practice Address - Country:US
Practice Address - Phone:301-698-8711
Practice Address - Fax:301-698-9122
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050181174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF09062Medicare UPIN
MDW901Medicare PIN