Provider Demographics
NPI:1497782809
Name:SOOD, ANJU B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJU
Middle Name:B
Last Name:SOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2964 N STATE ROAD 7
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5715
Mailing Address - Country:US
Mailing Address - Phone:954-972-7224
Mailing Address - Fax:954-975-6271
Practice Address - Street 1:2964 N STATE ROAD 7
Practice Address - Street 2:SUITE 110
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5715
Practice Address - Country:US
Practice Address - Phone:954-972-7224
Practice Address - Fax:954-975-6271
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME58471207P00000X
FLME 85471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12469OtherBLUE SHIELD
FL054044700Medicaid
FL054044700Medicaid
E99448Medicare UPIN