Individual provider · Type 1 NPI
Christian Soeharsono, MD
Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI number
1851022388
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Other practice locations
- 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787-5597 · (407) 656-0042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN36190 (FL) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1851022388
Christian Soeharsono, MD's National Provider Identifier is 1851022388, issued on Jun 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 5, 2025.