Provider Demographics
NPI:1528408804
Name:SODHI, NAMRITA KAUR (MD)
Entity Type:Individual
Prefix:
First Name:NAMRITA
Middle Name:KAUR
Last Name:SODHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 SOUTHERN AVENUE SE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4689
Mailing Address - Country:US
Mailing Address - Phone:202-574-6055
Mailing Address - Fax:202-373-5956
Practice Address - Street 1:1328 SOUTHERN AVE SE
Practice Address - Street 2:SUITE 302
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4689
Practice Address - Country:US
Practice Address - Phone:202-574-6055
Practice Address - Fax:202-373-5956
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0082375207Q00000X
DCMD044572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC015532058Medicaid