MEDICARE: SEEMA SOOD MD

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68-0501770	OTHER		TAX ID

General Provider Information

NPI Number	:	1386669117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEEMA SOOD MD

Provider Business Mailing Address
First Line	:	9480 S EASTERN AVE STE 257
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8000
Country	:	US
Telephone Number	:	702-269-0204
Fax Number	:	702-269-0212

Provider Business Practice Location Address
First Line	:	9480 S EASTERN AVE STE 257
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8000
Country	:	US
Telephone Number	:	702-269-0204
Fax Number	:	702-269-0212

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/10/2023

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Directions to “ SEEMA SOOD MD” Practice Location

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