Individual
DR. JASON MAXWELL SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2066
Mailing address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-111758
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-111758
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036-111758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-111758
—
IL
01
—
11796884
CAQH
IL
Enumeration date
06/05/2006
Last updated
05/15/2024
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