MEDICARE: PRAN N 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
1	208VP0014X	Interventional Pain Medicine Physician	021593	GA
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	207XX0801X	Orthopaedic Trauma Physician	021593	GA
4	208D00000X	General Practice Physician	1871553297	GA

General Provider Information

NPI Number	:	1891985024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAN N SOOD M.D.

Provider Business Mailing Address
First Line	:	1287 HWY 138 SPUR 8
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-2419
Country	:	US
Telephone Number	:	770-473-0038
Fax Number	:	770-471-4290

Provider Business Practice Location Address
First Line	:	1287 HWY 138 SPUR 8
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236
Country	:	US
Telephone Number	:	770-473-0038
Fax Number	:	770-471-4290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	04/12/2026

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Directions to “ PRAN N SOOD M.D.” Practice Location

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