Provider Demographics
NPI:1922076561
Name:AMAN, SOHAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHAIL
Middle Name:
Last Name:AMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:301 RANDOLPH ST
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629
Mailing Address - Country:US
Mailing Address - Phone:410-479-4306
Mailing Address - Fax:410-479-1714
Practice Address - Street 1:503 MUIR ST STE A
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1848
Practice Address - Country:US
Practice Address - Phone:410-228-4045
Practice Address - Fax:410-221-6457
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD63360207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD784381000Medicaid
MD206943OtherPRIORITY PARTNERS
MD521116591OtherCOVENTRY
MDT5880032OtherCF BC/BS GRP/GHMSI/BL CHO
MD2163283OtherMAMSI/ALLIANCE
MD4859683OtherCIGNA
MD8874691OtherCAREFIRST BC/BS RENDERING
MDP17145OtherCAREFIRST BC/BS POS
MD748809OtherNCPPO
MD7888733OtherAETNA
MD8163283OtherOPTIMUM CHOICE/MDIPA
MD521116591OtherTRICARE
MD521116591OtherINFORMED
MD521116591OtherMARYLAND PHYSICIANS CARE
MD521116591OtherTRICARE
MD748809OtherNCPPO