GABRIEL SOUDRY MD PA NPI 1811053127

NPI Information

NPI: 1811053127
Provider Name: GABRIEL SOUDRY MD PA
Classification: Nuclear Medicine - 207UN0902X
Specialization: Nuclear Imaging & Therapy
Entity Type: Organization
Doing Business As: CHESAPEAKE NUCLEAR MEDICINE
Address: 9000 FRANKLIN SQUARE DR
BALTIMORE, MD
ZIP 21237
Phone: (443) 777-7492

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NPI Details

GABRIEL SOUDRY MD PA is a nuclear imaging and therapy nuclear medicine in Baltimore, MD. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. GABRIEL SOUDRY MD PA NPI is 1811053127. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chesapeake Nuclear Medicine.

The provider's business location address is:

9000 FRANKLIN SQUARE DR
BALTIMORE, MD
ZIP 21237-901
Phone: (443) 777-7492

The provider's authorized official is Gabriel Soudry .
The authorized official title is President and has the following contact phone number (443) 777-7492.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology			No
2	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T390	OTHER	DISTRICT OF COLUMBIA	GHI
2	CH6755	MEDICARE PIN	MARYLAND
3	019400000	MEDICAID	MARYLAND
4	LY40CH	OTHER	MARYLAND	BLUE SHIELD
5	011M	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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