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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
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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