Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0200X | Radiology | S01758 | MD |
N | 213ER0200X | Radiology | S01758 | MD |
N | 111NR0400X | Rehabilitation Chiropractor | S01758 | MD |
NPI | 1598899569 |
---|---|
Provider Name | Dr. Scott David Sobel |
First Address | Owings Mills, MD 21117-4129 |
Second Address | Owings Mills, MD 21117-4129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U61821 | (02) | MD |