Individual
SOUVONIK ADHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 HOSPITAL DR STE 200, GLEN BURNIE, MD 21061-6905
(410) 553-8362
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D98133
MD
Other
Enumeration date
06/02/2020
Last updated
09/11/2023
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