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General NPI Number Information
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NPI Number | 1710746888
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Entity Type | Organization
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Legal Business Name | VIKRAM SODHI MD LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 801 TOLL HOUSE AVE UNIT D3
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City | FREDERICK
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State | MD
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Zip | 21701
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Country | US
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Telephone | 240-772-5775
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Fax | 240-772-5789
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Provider Business Mailing Address
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Address Line | 14828 MERIWETHER DR
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City | GLENELG
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State | MD
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Zip | 21737-9626
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Country | US
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Telephone | 716-698-2386
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. VIKRAM SINGH SODHI
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Credential | MD
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Telephone | 716-698-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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