Provider Demographics
NPI:1962567784
Name:ARBAJE, ALICIA I (MD)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:I
Last Name:ARBAJE
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 631568
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6701 N CHARLES ST
Practice Address - Street 2:DEPT OF MEDICINE RM 4890
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-8046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060014207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCC0899P00123841OtherRAILROAD MEDICARE
MDS1380085OtherCAREFIRST REGIONAL
MD403972600Medicaid
MDKJ1564370401OtherCAREFIRST MARYLAND
MD298612OtherMDIPA OPT CHOICE
MD107090OtherHOPKINS EHP
MD107090OtherHOPKINS EHP
MDKJ1564370401OtherCAREFIRST MARYLAND