Individual
DR. SOHA BAZYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5689
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5689
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0103381
MD
390200000X
Student in an Organized Health Care Education/Training Program
261489
NC
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/21/2020
Last updated
06/06/2025
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