Individual
DR. SHAHABUDDIN SOHERWARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(180) 074-9519
(800) 749-5191
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(800) 749-5191
(410) 630-7685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0084502
MD
207R00000X
Internal Medicine Physician
V4501
TX
390200000X
Student in an Organized Health Care Education/Training Program
MTL002959
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0084502
MD LICENSE
MD
Enumeration date
08/04/2015
Last updated
10/19/2024
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