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NPI Code Detail

MEDICARE: DR.'S FORD & SOUD, INC.

MEDICARE: DR.'S FORD & SOUD, INC.
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 PhysicianOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679574172
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR.'S FORD & SOUD, INC.
Provider Business Mailing Address
First Line : PO BOX 93825
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-5825
Country : US
Telephone Number : 216-464-5160
Fax Number : 216-464-5982
Provider Business Practice Location Address
First Line : 3609 PARK EAST DR
Second Line : SUITE #410 N
City : BEACHWOOD
State : OH
Zip : 44122-4331
Country : US
Telephone Number : 216-378-0300
Fax Number : 216-378-0303
Authorized Official
Title or Position : PRESIDENT
Name : DR. MAHMOUD SOUD
Credential : M.D.
Telephone Number : 216-378-0300
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/21/2022

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Directions to “DR.'S FORD & SOUD, INC. ” Practice Location

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