Provider Demographics
NPI:1821380171
Name:SODHA, POOJA (MD)
Entity Type:Individual
Prefix:DR
First Name:POOJA
Middle Name:
Last Name:SODHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:POOJA
Other - Middle Name:
Other - Last Name:SODHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW STE 2B-430
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2625
Mailing Address - Fax:202-741-2622
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW STE 2B-430
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101269079207N00000X
MDD0089358207N00000X
FLME144813207N00000X
TXS1280207N00000X
NC2016-01282207N00000X
DCMD048241207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology