MEDICARE: DR. RAJAT 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	207RG0100X	Gastroenterology Physician	8145	NV

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	:	1962504126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJAT SOOD MD

Provider Business Mailing Address
First Line	:	2654 W HORIZON RIDGE PKWY
Second Line	:	B-5 #167
City	:	HENDERSON
State	:	NV
Zip	:	89052-2803
Country	:	US
Telephone Number	:	702-558-4027
Fax Number	:	702-558-4028

Provider Business Practice Location Address
First Line	:	2839 SAINT ROSE PKWY STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-558-4027
Fax Number	:	702-558-4028

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/13/2021

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