Dr. Sokpheary Srorn, M.D.
Family Medicine in Frederick, MD. Individual provider (NPI-1).
NPI number1609010271
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1609010271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sokpheary Srorn
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2009
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0074996 | MD | Yes |
| 207Q00000X | Family Medicine | 0101253049 | VA |
Practice location
7190 Crestwood BlvdKaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314
Phone 800-777-7904
Mailing address
7190 Crestwood BlvdKaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314
Phone 800-777-7904
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