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NPI Code Detail

MEDICARE: DR. JASPREET SOOD M.D.

MEDICARE: DR. JASPREET SOOD M.D.
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
1208000000XPediatrics Physician258452NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992012702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASPREET SOOD M.D.
Provider Business Mailing Address
First Line : 346 GRAND AVE
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-2580
Country : US
Telephone Number : 607-433-3484
Fax Number : 607-432-5790
Provider Business Practice Location Address
First Line : 179 RIVER ST
Second Line :
City : ONEONTA
State : NY
Zip : 13820-2239
Country : US
Telephone Number : 607-433-3484
Fax Number : 607-432-5790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 08/12/2013

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