Healthcare Provider Details

I. General information

NPI: 1194764209
Provider Name (Legal Business Name): JASON MAXWELL SOBEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 KING FARM BLVD STE 400
ROCKVILLE MD
20850-5749
US

IV. Provider business mailing address

700 KING FARM BLVD STE 400
ROCKVILLE MD
20850-5749
US

V. Phone/Fax

Practice location:
  • Phone: 301-921-4400
  • Fax:
Mailing address:
  • Phone: 301-921-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-111758
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number036-111758
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number036-111758
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberD0082802
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: