Individual
NASSIF ELIAS SOUEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
7505 OSLER DR, SUITE 403, TOWSON, MD 21204-7736
(410) 321-0808
(410) 321-0887
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D60940
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140155ZB45
MEDICARE
MD
01
—
409076400
MEDICAL ASSISTANCE
MD
01
—
64770106
CAREFIRST
MD
01
—
M775 0001
CAREFIRST
DC
01
—
P00860865
RAILROAD MEDICARE
GA
Enumeration date
07/22/2006
Last updated
12/06/2010
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