Provider Demographics
NPI:1255456422
Name:PADEN, VABIAN LEWITT (MD)
Entity type:Individual
Prefix:DR
First Name:VABIAN
Middle Name:LEWITT
Last Name:PADEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6710 OXON HILL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1124
Mailing Address - Country:US
Mailing Address - Phone:240-702-2719
Mailing Address - Fax:240-702-2716
Practice Address - Street 1:6710 OXON HILL RD STE 210
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1124
Practice Address - Country:US
Practice Address - Phone:240-702-2719
Practice Address - Fax:240-702-2716
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2020-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060744208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG75572Medicare UPIN
MD088MJ079Medicare ID - Type Unspecified