Dr. Sokpheary Srorn M.D. - Family Medicine Physician in Frederick, Maryland | ProviderWire

Full Name

Dr. Sokpheary Srorn M.D.

NPI Number

1609010271

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/27/2009

Specialties

(Taxonomies)

Name

Family Medicine Physician

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

Virginia

License Number

D0074996

0101253049

Contact
Information

Purpose

Mailing

Location

Address

7190 CRESTWOOD BLVD

7190 CRESTWOOD BLVD

City

Frederick

Frederick

State

MD

MD

Postal Code

21703-7314

21703-7314

Country

US

US

Telephone Number

(800) 777-7904

(800) 777-7904

Health Information Exchange

Endpoint Type

SOAP

Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Endpoint Description

carequality

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
c-cda

Affiliation

N

Endpoint Location

7190 Crestwood BlvdKaiser Permanente Frederick Medical CenterFrederick, MD217037314US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/08/2022

Provider Address

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