Provider Demographics
NPI:1598995128
Name:ORKUBI, GHADA ABDULLAH (MD)
Entity Type:Individual
Prefix:
First Name:GHADA
Middle Name:ABDULLAH
Last Name:ORKUBI
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 1:2045 UNIVERSITY BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4153
Mailing Address - Country:US
Mailing Address - Phone:301-969-4561
Mailing Address - Fax:240-847-7391
Practice Address - Street 1:2045 UNIVERSITY BLVD E STE 100
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4153
Practice Address - Country:US
Practice Address - Phone:301-969-4561
Practice Address - Fax:240-847-7391
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
PAMD053591L207W00000X
MDD73268207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No174400000XOther Service ProvidersSpecialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD73268OtherMARYLAND LICENSE
MDD73268OtherMARYLAND LICENSE