Provider Demographics
NPI:1376657569
Name:SOOD, BRIJ M (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIJ
Middle Name:M
Last Name:SOOD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1676 SUNSET AVE
Mailing Address - Street 2:RADIATION-ONCOLOGY
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5416
Mailing Address - Country:US
Mailing Address - Phone:315-624-5340
Mailing Address - Fax:315-624-5370
Practice Address - Street 1:1676 SUNSET AVE
Practice Address - Street 2:RADIATION-ONCOLOGY
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502
Practice Address - Country:US
Practice Address - Phone:315-624-5340
Practice Address - Fax:315-624-5370
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2018-08-29
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Provider Licenses
StateLicense IDTaxonomies
NY1803762085R0001X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01201569Medicaid
PA102334188Medicaid
PA162308Medicare PIN
NY01201569Medicaid