=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750574356
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOHAIL M. QARNI, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2007
-----------------------------------------------------
Last Update Date | 08/27/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1224 CHESACO AVE
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21237-2632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-391-3700
-----------------------------------------------------
Fax | 410-391-4355
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1224 CHESACO AVE
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21237-2632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-391-3700
-----------------------------------------------------
Fax | 410-391-4355
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | M.D.
-----------------------------------------------------
Name | SOHAIL M. QARNI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 410-391-3700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | D0048025
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------