Provider Demographics
NPI:1376603225
Name:SOOD, SAVITA (MD)
Entity Type:Individual
Prefix:
First Name:SAVITA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SPRINT DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7789
Mailing Address - Country:US
Mailing Address - Phone:717-218-9830
Mailing Address - Fax:717-218-9833
Practice Address - Street 1:11 SPRINT DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7789
Practice Address - Country:US
Practice Address - Phone:717-218-9830
Practice Address - Fax:717-218-9833
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187638207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01449898Medicaid
NY01449898Medicaid
F66696Medicare UPIN