National Provider Identifier Database

GABRIEL SOUDRY MD PA
Nuclear Imaging & Therapy


Contact Information

GABRIEL SOUDRY MD PA
9000 FRANKLIN SQUARE DR
BALTIMORE, MD21237-3901
Phone: 443-777-7492
Fax:
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X
Nuclear Cardiology 207UN0901X

* Indicates primary specialty

NPI Profile & details for GABRIEL SOUDRY MD PA

NPI Number 1811053127
Legal business name
LBN
GABRIEL SOUDRY MD PA
Authorized official GABRIEL SOUDRY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/29/2006
Last updated 07/08/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 019400000
  • DC Other: T390 GHI
  • MD Other: LY40CH BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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