Healthcare Provider Details

I. General information

NPI: 1285713016
Provider Name (Legal Business Name): RAMAN SOOD, PHYSICIAN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 CENTRAL AVE
DUNKIRK NY
14048-2529
US

IV. Provider business mailing address

617 CENTRAL AVE
DUNKIRK NY
14048-2529
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-1223
  • Fax: 716-366-6844
Mailing address:
  • Phone: 716-366-1223
  • Fax: 716-366-6844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number219466-1
License Number StateNY

VIII. Authorized Official

Name: DR. RAMAN SOOD
Title or Position: PHYSICAN AND OWNER
Credential: M.D.
Phone: 716-366-1223