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NPI Code Detail

MEDICARE: SOPHIA LENORE DE GOES SEEKINS MD

MEDICARE: SOPHIA LENORE DE GOES SEEKINS MD
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
1207L00000XAnesthesiology Physician44468CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801822770
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA LENORE DE GOES SEEKINS MD
Provider Business Mailing Address
First Line : 10090 RED RUN BLVD
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4827
Country : US
Telephone Number : 102-410-3804
Fax Number :
Provider Business Practice Location Address
First Line : 23 CROSSROADS DR STE 100
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5476
Country : US
Telephone Number : 410-356-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 09/13/2024

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Directions to “ SOPHIA LENORE DE GOES SEEKINS MD” Practice Location

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