Individual
DR. ABDUL SHAHEED SOUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7120 MINSTREL WAY, STE 106, COLUMBIA, MD 21045-5248
(410) 290-9191
(410) 290-7330
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA1, SUITE 501, HUNT VALLEY, MD 21031-1002
(410) 290-9191
(410) 290-7330
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0063349
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0063349
MD
Other
Enumeration date
07/24/2006
Last updated
07/26/2021
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