Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036117582 | IL |
N | 111NI0900X | Internist | 036117582 | IL |
Y | 207R00000X | Internist | D66464 | MD |
Y | 111NI0900X | Internist | D66464 | MD |
NPI | 1003007824 |
---|---|
Provider Name | Dr. Leonard Anang Sowah |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510361400 | (05) | MD |