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NPI Code Detail

MEDICARE: FARANAK F SOTOUDEH

MEDICARE: FARANAK F SOTOUDEH
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianD0061462MD
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianD0015374MD

General Provider Information

NPI Number : 1376659771
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARANAK F SOTOUDEH
Provider Business Mailing Address
First Line : 7525 GREENWAY CENTER DR
Second Line : 209
City : GREENBELT
State : MD
Zip : 20770-3525
Country : US
Telephone Number : 301-474-0400
Fax Number : 301-474-2686
Provider Business Practice Location Address
First Line : 7525 GREENWAY CENTER DR
Second Line : 209
City : GREENBELT
State : MD
Zip : 20770-3525
Country : US
Telephone Number : 301-474-0400
Fax Number : 301-474-2686
Authorized Official
Title or Position : OWNER
Name : FARANAK F SOTOUDEH
Credential : MD
Telephone Number : 301-474-0400
Provider Enumeration Date : 08/21/2006
Last Update Date : 08/22/2020

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Directions to “FARANAK F SOTOUDEH ” Practice Location

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