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Individual

NISHA P. SOPREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2300 GARRISON BLVD, SUITE 220 B, BALTIMORE, MD 21216-2335
(410) 945-2484
Mailing address
2300 GARRISON BLVD, SUITE 220 B, BALTIMORE, MD 21216-2335
(410) 945-2484

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0024476
MD

Other

Enumeration date
08/22/2005
Last updated
07/01/2010
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