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This data was extracted on 9/30/2025.

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License Number: C0003042 Yelena Ibadova
License Type: Physician Assistant
License Status: Active  
License Issued: 11/19/2004  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? No

Maryland Hospital Privilege Information (as reported by licensee)
Carroll Hospital Center
Frederick Health Hospital
Adventist Healthcare White Oak Medical Center
Umd Baltimore Washington Medical Center
University Of Md Capital Region Medical Center
Luminis Health Anne Arundel Medical Center, Inc
Medical Licenses Held in Other States (as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
 Physician Assistant Notification of Collaboration Agreements
Agreement ID: 6074 |  Submit Date: 08/07/2025
Practice Setting: Hospital
Facility: Adventist Healthcare Rehabilitation At White Oak
Address: 11890 Healing Way, 6s
           Silver Spring, MD 20904
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0069472  Damian Crawford   Status: Approved  |  Approved Date:  05/14/2020  | Agreement No: 20491
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0066753  Timothy Michael Capstack   Status: Approved  |  Approved Date:  04/18/2023  | Agreement No: 32340
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0083427  David Nathanael Lauver   Status: Approved  |  Approved Date:  07/21/2023  | Agreement No: 32664
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0098803  Ibrahim Mohammad Ibrahim Abu Dayah   Status: Approved  |  Approved Date:  12/13/2023  | Agreement No: 33394
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0072962  Lee-Ann Marie Wagner   Status: Approved  |  Approved Date:  05/13/2024  | Agreement No: 33991
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0069086  Chintu Sharma   Status: Approved  |  Approved Date:  08/07/2024  | Agreement No: 34752
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)
All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
 Convictions for any crime involving moral turpitude
None reported by the courts.
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