Active NPI
Mohammed Eida Al-Sofiani, M.D.
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1982947743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1830 E Monument St Ste 333
Baltimore, MD 21287 - Phone
- (518) 253-9929
- NPI assigned
- Mar 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1830 E Monument St Ste 333
Baltimore, MD 21287
Mailing address
1830 E Monument St Ste 333
Baltimore, MD 21287-0020
Phone (518) 253-9929
Other practice location 1
2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1982947743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E MONUMENT ST STE 333",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870020",
"telephone_number": "518-253-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 E MONUMENT ST STE 333",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "518-253-9929"
}
],
"practiceLocations": [
{
"address_1": "2157 Main St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142142648",
"country_code": "US",
"telephone_number": "716-862-1423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-SOFIANI",
"first_name": "MOHAMMED",
"middle_name": "EIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-30",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.