MEDICARE: SEEMA SOOD MD PC

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	207R00000X	Internal Medicine Physician	8150	NV

General Provider Information

NPI Number	:	1356520027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEMA SOOD MD PC

Provider Business Mailing Address
First Line	:	8440 S EASTERN AVE
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2856
Country	:	US
Telephone Number	:	702-269-0204
Fax Number	:	702-269-0212

Provider Business Practice Location Address
First Line	:	8490 S EASTERN AVE STE B1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2806
Country	:	US
Telephone Number	:	702-269-0204
Fax Number	:	702-269-0212

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEEMA SOOD
Credential	:	MD
Telephone Number	:	702-269-0204

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	04/30/2020

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