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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 codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineD0074996MDYes
207Q00000X Family Medicine0101253049VA

Practice location

7190 Crestwood Blvd
Kaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314

Phone 800-777-7904

Mailing address

7190 Crestwood Blvd
Kaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314

Phone 800-777-7904

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