Provider Demographics
NPI:1982602462
Name:HOHL, ADRIANA URIBE (MD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:URIBE
Last Name:HOHL
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:PO BOX 20
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-0020
Mailing Address - Country:US
Mailing Address - Phone:301-371-9000
Mailing Address - Fax:301-371-8905
Practice Address - Street 1:300 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769-8043
Practice Address - Country:US
Practice Address - Phone:301-371-9000
Practice Address - Fax:301-371-8905
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD34815174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD521189978OtherCIGNA #
MDH9310005OtherBCBS NATIONAL CAPITAL ARE
MD3300193OtherUNITED HEALTHCARE #
MD5560161OtherAETNA #
MD840274OtherMDIPA #
MD208081800Medicaid
MD52746402OtherBCBS MARYLAND
MDH9310005OtherBCBS NATIONAL CAPITAL ARE
MD5560161OtherAETNA #
MDH569888RMedicare ID - Type UnspecifiedMEDICARE #