Provider Demographics
NPI:1922134139
Name:SODHI, HARLEEN KAUR (OD)
Entity Type:Individual
Prefix:DR
First Name:HARLEEN
Middle Name:KAUR
Last Name:SODHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:703-991-0514
Practice Address - Street 1:20940 FREDERICK RD
Practice Address - Street 2:SUITE D
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4103
Practice Address - Country:US
Practice Address - Phone:240-361-9600
Practice Address - Fax:240-361-9605
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11587T152W00000X
MDDA2468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist