Individual
DR. SUDEEP PRAMANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 YORK RD STE 500, TOWSON, MD 21204-5243
(410) 616-9952
(443) 927-7515
Mailing address
40 YORK RD STE 500, TOWSON, MD 21204-5243
(410) 616-9952
(443) 927-7515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35997
IA
207W00000X
Ophthalmology Physician
D0067362
MD
207W00000X
Ophthalmology Physician
Primary
MD428529
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016496560002
—
PA
01
—
1346488343
GROUP NPI
—
Enumeration date
08/17/2005
Last updated
11/21/2023
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