Provider Demographics
NPI:1669214094
Name:ABANGA, RAFIA (MD)
Entity type:Individual
Prefix:
First Name:RAFIA
Middle Name:
Last Name:ABANGA
Suffix:
Gender:
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:SINAI HOSPITAL OF BALTIMORE
Mailing Address - Street 2:2401 W BELVEDERE AVENUE, SUITE #C104
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-7649
Mailing Address - Fax:410-601-6308
Practice Address - Street 1:SINAI HOSPITAL OF BALTIMORE
Practice Address - Street 2:2401 W BELVEDERE AVENUE, SUITE #C104
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-7649
Practice Address - Fax:410-601-6308
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2025-03-20
Deactivation Date:2025-01-16
Deactivation Code:
Reactivation Date:2025-03-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program