MEDICARE: DR. RAJEEV 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	ME74999	FL
2	174400000X	Specialist	ME0074999	FL

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

General Provider Information

NPI Number	:	1447202288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJEEV SOOD MD

Provider Business Mailing Address
First Line	:	PO BOX 2157
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-2157
Country	:	US
Telephone Number	:	321-229-5564
Fax Number	:	407-901-3623

Provider Business Practice Location Address
First Line	:	6735 CONROY RD
Second Line	:	SUITE 223
City	:	ORLANDO
State	:	FL
Zip	:	32835-3565
Country	:	US
Telephone Number	:	321-229-5564
Fax Number	:	407-901-3623

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/27/2022

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