Provider Demographics
NPI:1053519983
Name:GLEBOVA, NATALIA O (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:O
Last Name:GLEBOVA
Suffix:
Gender:F
Credentials:MD, PHD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:SUITE 6W PPQA
Mailing Address - City:ROCVKILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-5853
Mailing Address - Fax:
Practice Address - Street 1:2101 EAST JEFFERSON STREET
Practice Address - Street 2:SUITE 6W PPQA
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4908
Practice Address - Country:US
Practice Address - Phone:301-816-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD752572086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty