Basic Information
| Provider Information | |||||||||
| NPI: | 1407242381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOHAIL | ||||||||
| FirstName: | MAAZ | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 960 E 3RD ST STE 208 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374032121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237782550 | ||||||||
| FaxNumber: | 4237784456 | ||||||||
| Practice Location | |||||||||
| Address1: | 9711 MEDICAL CENTER DR STE 308 | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208503388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012511244 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2015 | ||||||||
| LastUpdateDate: | 06/13/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | TN | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RG0100X | D93572 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.