Organization
BOWIE TOWN MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN SOOD M.D. (OWNER)
(301) 249-8100
Entity
Organization
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-1389
(301) 249-8100
(301) 390-8086
Mailing address
3060 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-1389
(301) 249-8100
(301) 390-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499601100
—
MD
Enumeration date
07/18/2006
Last updated
05/16/2008
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