Most Relevant Information
Provider Data
| NPI Number: | 1003552217 |
| Provider Name: | SUJAN POUDEL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2022 |
| Last Updated: | 11/23/2022 |
Provider Practice Location
2003 MEDICAL PARKWAY
SUITE 350
ANNAPOLIS
MD
21401
Practice Location Phone/Fax
| Phone: | 4439514286 |
| Fax: | 4439497380 |
Provider Mailing Location
2003 MEDICAL PARKWAY
SUITE 350
ANNAPOLIS
MD
21401
Provider Mailing Phone/Fax
| Phone: | 4439514286 |
| Fax: | 4439497380 |