Provider Demographics
NPI:1760530349
Name:PABLA, HARVINDER S (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVINDER
Middle Name:S
Last Name:PABLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14333 LAUREL BOWIE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1179
Mailing Address - Country:US
Mailing Address - Phone:301-776-6700
Mailing Address - Fax:301-776-1548
Practice Address - Street 1:14333 LAUREL BOWIE RD STE 209
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1179
Practice Address - Country:US
Practice Address - Phone:301-776-6700
Practice Address - Fax:301-776-1548
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2024-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD29230207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00765Medicare UPIN