Individual
SAMANTHA SOUHRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
345 ST. PAUL PLACE, BALTIMORE, MD 21202
(443) 699-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007875
MD
Other
Enumeration date
02/04/2020
Last updated
04/15/2021
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