GABRIEL SOUDRY MD PA; NPI #1811053127

Contact Information

GABRIEL SOUDRY MD PA

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901

Phone: 443-777-7492
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nuclear Imaging & Therapy	207UN0902X	36	Physician/Nuclear Medicine
Nuclear Cardiology	207UN0901X	36	Physician/Nuclear Medicine

Indicates primary specialty

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NPI Profile & details for GABRIEL SOUDRY MD PA

NPI # 1811053127

LBN Legal business name GABRIEL SOUDRY MD PA

Authorized official GABRIEL SOUDRY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/29/2006

Last updated 07/08/2008 - About 18 years ago

Identifiers

MD	Medicaid	019400000
DC	Other	T390	GHI
MD	Other	LY40CH	BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GABRIEL SOUDRY MD PA

Contact Information

Specialty

Nuclear Imaging & Therapy

Nuclear Cardiology

NPI Profile & details for GABRIEL SOUDRY MD PA

Reviews for GABRIEL SOUDRY MD PA