Provider Demographics
NPI:1558412288
Name:SOZIO, STEPHEN MARTIN (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MARTIN
Last Name:SOZIO
Suffix:
Gender:M
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64264
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 MASON LORD DR STE 2500
Practice Address - Street 2:JOHNS HOPKINS BAYVIEW RENAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3057
Practice Address - Country:US
Practice Address - Phone:410-550-2820
Practice Address - Fax:410-550-7950
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067840207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD023689600Medicaid
MD023689600Medicaid