Provider Demographics
NPI:1598758443
Name:DROGULA, CYNTHIA LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:DROGULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 HOSPITAL DR
Mailing Address - Street 2:SUITE B100
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6904
Mailing Address - Country:US
Mailing Address - Phone:410-553-8351
Mailing Address - Fax:410-553-8352
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:SUITE B100
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-553-8351
Practice Address - Fax:410-553-8352
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044654208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
5353197OtherAETNA PPO
MDP00254286OtherMEDICARE RAILROAD
2131125OtherMAMSI
MD406923400Medicaid
1303080OtherCIGNA
1622878OtherUNITED HEALTH CARE
MD645177-01OtherCAREFIRST BCBS
33525OtherJOHN HOPKINS HEALTH CARE
520689917OtherFIDELITY
704197OtherNCPPO
DCJ6860006OtherCAREFIRST BCBS
3767375OtherAETNA HMO
520689917-1OtherCONVENTRY
3767375OtherAETNA HMO
G42676Medicare UPIN