DR. ABDUL SHAHEED SOUDAN (NPI# 1013939198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013939198 |
| Entity Type | Individual |
| Full Name | DR. ABDUL SHAHEED SOUDAN |
| Credential | MD |
| Practice Address |
7120 Minstrel Way Ste 106 Columbia MD 21045-5248 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza1, Suite 501 Hunt Valley MD 21031-1002 |
| Practice Telephone | 4102909191 |
| Practice Fax Number | 4102907330 |
| Mailing Telephone | 4102909191 |
| Mailing Fax Number | 4102907330 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
D0063349 | MD | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
D0063349 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
7120 MINSTREL WAY STE 106 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213824 | Rudrajit Masand Rai | Internal Medicine | 7120 Minstrel Way, Suite 100, Columbia, MD 21045-5248 | 2006-02-07 |
| 1871060426 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 7120 Minstrel Way, Suite 106, Columbia, MD 21045 | 2018-10-31 |
| 1538531215 | Columbia Health Care, LLC | Clinic/Center | 7120 Minstrel Way, Suite 105b, Columbia, MD 21045-5248 | 2015-10-21 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1346581105 | Md Laser Surgery Center, LLC | Clinic/Center | 7120 Minstrel Way, Suite 103, Columbia, MD 21045-5248 | 2013-03-04 |
| 1992040778 | Elisha Vernice Carter | Physician Assistant | 7120 Minstrel Way, Suite 106, Columbia, MD 21045-5248 | 2012-12-04 |
| 1588921225 | Columbia Outpatient Sedation LLC | Nurse Anesthetist, Certified Registered | 7120 Minstrel Way, Ste 100, Columbia, MD 21045-5248 | 2012-04-19 |
| 1376810846 | Dynamic Ventures Holdings | Pharmacy | 7120 Minstrel Way, Columbia, MD 21045-5248 | 2011-11-28 |
| 1588941967 | Cara Jacobson | Psychologist | 7120 Minstrel Way, Suite 203, Columbia, MD 21045-5248 | 2011-11-13 |
| 1992095392 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste 106, Columbia, MD 21045-5248 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1376175000 | Carolina Pain Solutions, LLC | Pain Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2020-02-11 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1922511658 | Carolina Healthchoice of Columbia, LLC | Pain Medicine | 1494 Lake Murray Blvd, Columbia, SC 29212-8697 | 2017-11-16 |
| 1871021550 | Midlands Pain Solutions LLC | Pain Medicine | 4531 Hard Scrabble Rd, Columbia, SC 29229-8561 | 2017-05-25 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1588926711 | Steve Storick, Md, Pa | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2012-06-13 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.