Individual provider Active NPI

Truman Farah Soudah, MD

  • Obstetrics & Gynecology Physician
  • Parkville, MD
National Provider Identifier
1073558151
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jul 19, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0018966 Issued in MD
Practice address
8813 Waltham Woods Rd
Ste 101
Parkville, MD 21234-2402
Phone
(410) 661-8690
Fax
(410) 661-4416
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0018966 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd
Ste 101
Parkville, MD 21234-2402

Mailing address

8813 Waltham Woods Rd
Ste 101 Medical Practice of OB GYN
Parkville, MD 21234-2402
Phone (410) 661-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0018966MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truman F Soudah,MD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073558151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD",
            "address_2": "STE 101 MEDICAL PRACTICE OF OB GYN",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-661-8690",
            "fax_number": "410-661-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD",
            "address_2": "STE 101",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-661-8690",
            "fax_number": "410-661-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDAH",
        "first_name": "TRUMAN",
        "middle_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0018966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.