MEDICARE: DR. SOPHIA LYNN ROBINSON M.D.

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
1	207Q00000X	Family Medicine Physician	D0046250	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1831197722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOPHIA LYNN ROBINSON M.D.

Provider Business Mailing Address
First Line	:	8900 GRUMMORE CIR
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-1418
Country	:	US
Telephone Number	:	410-653-8412
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 DIVISION ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21217-3121
Country	:	US
Telephone Number	:	410-383-8783
Fax Number	:	410-383-1356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/23/2012

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