Provider Demographics
NPI:1336222009
Name:COMETA, ARIANE K (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIANE
Middle Name:K
Last Name:COMETA
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 1:10151 YORK RD STE 118
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3314
Mailing Address - Country:US
Mailing Address - Phone:410-666-0804
Mailing Address - Fax:410-666-0979
Practice Address - Street 1:10151 YORK RD
Practice Address - Street 2:STE 120
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3314
Practice Address - Country:US
Practice Address - Phone:410-666-0804
Practice Address - Fax:410-666-0979
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053358207Q00000X
ME013971207Q00000X
SC35859207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDOC41OtherBLUECROSS/BLUESHIELD
MDOC41OtherBLUECROSS/BLUESHIELD
MDG10982Medicare UPIN