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SUJATA QASBA M.D.
NPI 1780682765
Pediatrics - Adolescent Medicine in Laurel, MD

Active since July 13, 2005CLIA 21D0960443 · Waiver
3450 FORT MEADE RD, SUITE #103, LAUREL, MD 20724(301) 776-2700(301) 776-4213 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sujata Qasba M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJATA QASBA M.D. (NPI 1780682765) is an individual adolescent medicine provider in Laurel, Maryland, licensed in Maryland (D33725) and active in the NPI registry since July 2005. She holds a CLIA Waiver certificate valid through April 5, 2028.

NPPES Registry Identity

NPI1780682765
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameSUJATA QASBACredential: M.D.
Location Address3450 FORT MEADE RD, SUITE #103Laurel, MD 20724-2040
Mailing Address6302 Morning Dew CtClarksville, MD 21029-1150
Phone(301) 776-2700
Fax(301) 776-4213
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1780682765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MD · D33725
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3450 FORT MEADE RD, Laurel, MD 20724
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Other Identifiers 11

Other344322Ncppo
Other213741Alliance Ppo
Other1200660United Health Care
Other813741Mamsi, Mdipa, Opt. Ch.
Medicaid1200660MD
Medicaid07978MD
Other0213115Cigna
Other7020MD · Blue Cross/blue Shield
Other34269Coventry
Other0100243Aetna Hmo
Other72770001DC · Blue Cross/blue Shield

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0960443

Sujata Qasba MD · Laurel, MD
Active · expires Apr 5, 2028
CLIA Number21D0960443
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorSujata Qasba MD
Laboratory Phone(301) 776-2700
Laboratory LocationSujata Qasba MD3450 Fort Meade Road Ste 107, Laurel, MD 20724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY PODIATRY OF DC
Durable Medical Equipment & Medical Supplies
3450 FORT MEADE RD, SUITE 210
LAUREL, MD 20724
Anne Arundel County (202) 726-5387
DR. RONALD GEOFFREY HAVELOCK O.D.
Optometrist
3450 FORT MEADE RD, LAUREL PROFESSIONAL BLD. STE 104
LAUREL, MD 20724
Anne Arundel County (301) 483-3323
DR. SAIDEH TEHRANI D.M.D.
Dentist (General Practice)
3450 FORT MEADE RD, SUITE 202
LAUREL, MD 20724
Anne Arundel County (301) 498-6554
MICHAEL N BAAKO MD
Internal Medicine
3450 FORT MEADE RD, SUITE 209
LAUREL, MD 20724
Anne Arundel County (240) 295-0502
DR. GERREN SHINAR PERRY-FABRIZIO M.D.
Family Medicine
3450 FORT MEADE RD, SUITE 109
LAUREL, MD 20724
Anne Arundel County (301) 317-8660
DR. SABINA F CORONADO PSY.D.
Psychologist (Clinical)
3450 FORT MEADE RD, SUITE 110
LAUREL, MD 20724
Anne Arundel County (301) 317-8100
METROPOLITAN FAMILY PRACTICE, LLC
Family Medicine
3450 FORT MEADE RD, SUITE 109
LAUREL, MD 20724
Anne Arundel County (301) 317-8660
SHEEP GATE CHRISTIAN COUNSELING CENTER, LLC
Counselor (Professional)
3450 FORT MEADE RD, 105
LAUREL, MD 20724
Anne Arundel County (301) 490-3825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujata Qasba's NPI number?

The NPI number for Sujata Qasba is 1780682765. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Sujata Qasba located?

Sujata Qasba practices at 3450 Fort Meade Rd Suite #103, Laurel, MD 20724. The listed phone number is (301) 776-2700.

What is Sujata Qasba's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Sujata Qasba hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0960443) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sujata Qasba was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.