GABRIEL SOUDRY MD (NPI# 1316003627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316003627 |
Entity Type | Organization |
Organization Name | GABRIEL SOUDRY MD |
Practice Address |
9000 Franklin Square Dr Baltimore MD 21237-3901 |
Practice Telephone | 4437777492 |
Mailing Telephone | 4437777492 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2008-01-09 |
Authorized Official Name | GABRIEL SOUDRY (PRESIDENT) |
Authorized Official Telephone | 4437777492 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DC | GHI | T390 | 01 |
MD | BLUE SHIELD | 0S04G | 01 |
MD | 364201100 | 05 |
Street Address |
9000 FRANKLIN SQUARE DR |
City | BALTIMORE |
State | MD |
Zip Code | 21237-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407853070 | Mingxia Xi | Specialist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2005-06-28 |
1750989125 | Lisa Distefano | Pharmacist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-10-16 |
1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
1205454535 | Taylor Leigh Hook | Physician Assistant | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-07-13 |
1326664954 | Rebecca Jo Hartnett | Counselor | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-19 |
1609491075 | Karen Polite-lamma | Registered Nurse | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-11 |
1386273076 | Seychelle Devries | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-03 |
1346879459 | Zachary Everette Darby | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-02 |
1609404474 | Kan Hong Zheng | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-29 |
1457989261 | Chrystal Lynette Pristell | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
Find all providers in zip 21237 |
Taxonomy Code | 207UN0902X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Nuclear Medicine |
Specialization | Nuclear Imaging & Therapy |
A nuclear medicine physician who specializes in nuclear imaging and therapy. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326185299 | Dacian Bonta | Nuclear Medicine | 610 N Caroline St., #3233, Baltimore, MD 21205 | 2007-01-31 |
1396127528 | Chee Hwee Lee | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201 | 2015-06-24 |
1073949780 | Samar J Hajj | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2013-09-25 |
1386083418 | Babak Saboury Sichani | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2013-06-21 |
1396072575 | Qi Cao | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2009-11-10 |
1629114640 | Mohab Alexander | Nuclear Medicine | 601 N Caroline St, Johns Hopkins Outpatient Center, Room 3240, Baltimore, MD 21287-0006 | 2007-01-29 |
1962551473 | Wengen Chen | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2007-01-10 |
1417980491 | Vasken Dilsizian | Nuclear Medicine | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2006-07-10 |
1306812649 | Shirley S Yang | Nuclear Medicine | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750933362 | Advanced Molecular Imaging and Therapy | Nuclear Medicine | 1 Green Heron Pt, Arnold, MD 21012-1015 | 2019-07-13 |
1912334392 | James Carter Reynolds | Nuclear Medicine | National Institutes of Health, 10 Center Drive; Bldg 10; Room 1c-461, Bethesda, MD 20892-0001 | 2013-10-01 |
1366878316 | Ronald Daniel Neumann | Nuclear Medicine | 9000 Rockville Pike, Nih Msc 1180, Bethesda, MD 20892-1180 | 2013-09-23 |
1417218538 | Ahmed M Gharib | Nuclear Medicine | 10 Center Dr, Crc Room 3-5340, Msc1263, Bethesda, MD 20892-0001 | 2012-06-05 |
1558393991 | Sidney Roye Deburgh Hinds II | Nuclear Medicine | 8901 Rockville Pike, Department of Radiology/nuclear Medicine Service, Bethesda, MD 20889-5600 | 2006-07-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.