Organization
EASTERN SHORE INTERNIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHABUDDIN SOHERWARDI M.D. (AUTHORIZED OFFICIAL)
(202) 352-5613
Entity
Organization
Contact information
Practice address
5484 DUNFRIES CT, SALISBURY, MD 21801-2474
(202) 352-5613
Mailing address
5484 DUNFRIES CT, SALISBURY, MD 21801-2474
(202) 352-5613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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