Soudry, Gabriel
Soudry, Gabriel is an individual health care provider with primary practice located at 9000 Franklin Square Dr , Baltimore MD 21237-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Soudry, Gabriel can be contacted via phone (410) 935-6685.Contact Information
Primary practice address
9000 Franklin Square Dr
Baltimore MD 21237-3901
Phone: (410) 935-6685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D45134 | Maryland |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | D45134 | Maryland |
Profile Details
| NPI number | 1679681225 |
|---|---|
| LBN Legal business name | Soudry, Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679681225 | NPPES |
| District of Columbia | Other | T3900001 | BLUE SHIELD |
| District of Columbia | Other | 60982201 | BLUE SHIELD |
| District of Columbia | MEDICAID | 364201100 | BLUE SHIELD |
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