Provider Demographics
NPI:1013702497
Name:DEBRAH, CLIFF ASABRE (RT)
Entity type:Individual
Prefix:MR
First Name:CLIFF
Middle Name:ASABRE
Last Name:DEBRAH
Suffix:
Gender:
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14012 CASTLE RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7347
Mailing Address - Country:US
Mailing Address - Phone:240-338-6663
Mailing Address - Fax:
Practice Address - Street 1:14012 CASTLE RIDGE WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7347
Practice Address - Country:US
Practice Address - Phone:240-338-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR00099482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology