Provider Demographics
NPI:1750574356
Name:SOHAIL M. QARNI, M.D., P.A.
Entity type:Organization
Organization Name:SOHAIL M. QARNI, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:QARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-391-3700
Mailing Address - Street 1:1224 CHESACO AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2632
Mailing Address - Country:US
Mailing Address - Phone:410-391-3700
Mailing Address - Fax:410-391-4355
Practice Address - Street 1:1224 CHESACO AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-2632
Practice Address - Country:US
Practice Address - Phone:410-391-3700
Practice Address - Fax:410-391-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0048025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0Q06SMOtherCAREFRIST MARYLAND
DCR628 0001OtherCAREFIRST DC
MD0Q06SMOtherCAREFRIST MARYLAND
MD542QMedicare PIN