Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 11014006A | IN |
N | 208600000X | Surgeon | 11014006A | IN |
N | 208200000X | Surgeon | BP10012828 | TX |
N | 208600000X | Surgeon | BP10012828 | TX |
NPI | 1003080797 |
---|---|
Provider Name | Dr. Sabrina Christine Sopha |
First Address | Baltimore, MD 21264-4478 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 05/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056009000 | (05) | MD |