MEDICARE: DR. DINA SOKAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	D0027080	MD
2	2084P0800X	Psychiatry Physician	D0027080	MD

General Provider Information

NPI Number	:	1063447654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINA SOKAL M.D.

Provider Business Mailing Address
First Line	:	9505 REISTERSTOWN RD
Second Line	:	3N
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4451
Country	:	US
Telephone Number	:	410-581-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	9505 REISTERSTOWN RD
Second Line	:	3N
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4451
Country	:	US
Telephone Number	:	410-581-1372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	12/27/2012

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