Dr. Gabriel Soudry
Internist Nuclear Medicine Specialist
9000 Franklin Square Dr
Baltimore
, Maryland 21237-3901
Dr. Gabriel Soudry
Internist Nuclear Medicine Specialist
9000 Franklin Square Dr
Baltimore
, Maryland 21237-3901
(410) 935-6685
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About
Features
Specialties
- Internist
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Gabriel Soudry
- 9000 Franklin Square Dr
- Baltimore, MD
- Zip : 21237-3901
- Phone : (410) 935-6685
Second Address
- Dr. Gabriel Soudry
- 9000 Franklin Square Dr
- Baltimore, MD
- Zip : 21237-3901
- Phone : (410) 935-6685
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | D45134 | MD |
| N | 111NI0900X | Internist | D45134 | MD |
| Y | 207U00000X | Nuclear Medicine Specialist | D45134 | MD |
National Provider Identifier
| NPI | 1679681225 |
|---|---|
| Provider Name | Dr. Gabriel Soudry |
| First Address | Baltimore, MD 21237-3901 |
| Second Address | Baltimore, MD 21237-3901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 21/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 364201100 | (05) | MD |
| 60982201 | BLUE SHIELD (01) | MD |
| F73107 | (02) | MD |
| T3900001 | BLUE SHIELD (01) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.