Provider Demographics
NPI:1194714857
Name:SOBEL, TAMARA S (MD)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:S
Last Name:SOBEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:21 CROSSROADS DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5441
Mailing Address - Country:US
Mailing Address - Phone:410-998-9100
Mailing Address - Fax:410-998-9104
Practice Address - Street 1:9 PARK CENTER CT STE 200
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5623
Practice Address - Country:US
Practice Address - Phone:410-630-1402
Practice Address - Fax:410-356-1934
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2022-04-14
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Provider Licenses
StateLicense IDTaxonomies
MDD0045432207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD331491000Medicaid
MD331491000Medicaid
MD156606Medicare PIN
MDKP27917VMedicare PIN
MDG04120Medicare UPIN