Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 269088 | NY |
Y | 207Q00000X | Family Doctor | D80127 | MD |
N | 207QS0010X | Family Doctor - Sports Medicine | 269088 | NY |
N | 207QS0010X | Family Doctor - Sports Medicine | D80127 | MD |
NPI | 1114157112 |
---|---|
Provider Name | Dr. Vikram Singh Sodhi |
First Address | Frederick, MD 21702-4679 |
Second Address | Frederick, MD 21702-4679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2009 |
Last Update Date | 21/09/2020 |