Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0055068 | MD |
NPI | 1003816836 |
---|---|
Provider Name | Dr. Shubir Sofat |
First Address | Potomac, MD 20854-1227 |
Second Address | Rockville, MD 20850-7542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145504400 | (05) | MD |
H29201 | (02) | MD |