Individual
SOPAGNA BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0006946
MD
363A00000X
Physician Assistant
Primary
C5-0012496
DE
Other
Enumeration date
08/16/2018
Last updated
07/22/2026
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