Provider Demographics
NPI:1588652358
Name:SOOD, PARDEEP K (MD)
Entity Type:Individual
Prefix:DR
First Name:PARDEEP
Middle Name:K
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:410-329-1071
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:5520 PARK AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611
Practice Address - Country:US
Practice Address - Phone:203-373-7468
Practice Address - Fax:203-373-7354
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2021-06-18
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Provider Licenses
StateLicense IDTaxonomies
CT035249174400000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050001425Medicare ID - Type Unspecified
G42796Medicare UPIN