# VIKRAM SODHI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frederick Primary Care & Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710746888
- **Authorized official:** DR. VIKRAM SINGH SODHI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (716) 698-2386

## Contact information

- **Practice address:** 801 TOLL HOUSE AVE, UNIT D3, FREDERICK, MD 21701
- **Practice address phone:** (240) 772-5775
- **Practice address fax:** (240) 772-5789
- **Mailing address:** 14828 MERIWETHER DR, GLENELG, MD 21737-9626
- **Mailing address phone:** (716) 698-2386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 03/18/2024