Provider Demographics
NPI:1942267182
Name:SVOBODA, KARL T (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:T
Last Name:SVOBODA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25500 POINT LOOKOUT ROAD
Mailing Address - Street 2:ST MARY'S HOSPITAL EMERGENCY DEPARTMENT
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-1641
Mailing Address - Country:US
Mailing Address - Phone:301-475-6488
Mailing Address - Fax:
Practice Address - Street 1:25500 POINT LOOKOUT ROAD
Practice Address - Street 2:ST MARY'S HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650
Practice Address - Country:US
Practice Address - Phone:301-475-6488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227401207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine