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NPI Code Detail

MEDICARE: DR. VANITA SOOD M.D.

MEDICARE: DR. VANITA SOOD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD2006-0053NM

General Provider Information

NPI Number : 1275671893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANITA SOOD M.D.
Provider Business Mailing Address
First Line : 10500 ROYAL TROON NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-6575
Country : US
Telephone Number : 505-271-0121
Fax Number : 505-275-0656
Provider Business Practice Location Address
First Line : 10110 SPAIN RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-1965
Country : US
Telephone Number : 505-294-5065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 07/08/2007

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Directions to “ DR. VANITA SOOD M.D.” Practice Location

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