MEDICARE: AMIT SOOD

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	374U00000X	Home Health Aide	R5330	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	853620251	OTHER	MD	SKILLED HOME CARE

General Provider Information

NPI Number	:	1265138143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT SOOD

Provider Business Mailing Address
First Line	:	2701 MARTELLO DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4534
Country	:	US
Telephone Number	:	301-660-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 MARTELLO DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4534
Country	:	US
Telephone Number	:	301-660-0060
Fax Number	:

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

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

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Directions to “ AMIT SOOD ” Practice Location

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