Southard, Richard N
Southard, Richard N is an individual health care provider with primary practice located at 1800 Orleans St # 4174 , Baltimore MD 21287-0010. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Southard, Richard N can be contacted via phone (410) 955-6454.Contact Information
Primary practice address
1800 Orleans St # 4174
Baltimore MD 21287-0010
Phone: (410) 955-6454
Fax: (410) 502-3633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38022 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 38022 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 38022 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J9359 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | D96115 | Maryland |
Profile Details
| NPI number | 1538162953 |
|---|---|
| LBN Legal business name | Southard, Richard N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jan 19th, 2023 - about last year |
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 | 1538162953 | NPPES |
| Arizona | MEDICAID | 335961 | |
| Arizona | MEDICAID | 134459001 |
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