Provider Demographics
NPI:1740225200
Name:SODHI, JASWINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JASWINDER
Middle Name:
Last Name:SODHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JASWINDER
Other - Middle Name:K
Other - Last Name:SODHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11620 MIRROR POND CT
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2306
Mailing Address - Country:US
Mailing Address - Phone:301-490-7448
Mailing Address - Fax:
Practice Address - Street 1:VAMC
Practice Address - Street 2:MANAGED CARE OFFICE BLDG 361
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902-0025
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0042682207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine