Provider Demographics
NPI:1760417976
Name:SOOD, ANURAAG (MD)
Entity Type:Individual
Prefix:DR
First Name:ANURAAG
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 1:19 WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2479
Mailing Address - Country:US
Mailing Address - Phone:410-272-3233
Mailing Address - Fax:410-273-9465
Practice Address - Street 1:19 WALNUT LN
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2479
Practice Address - Country:US
Practice Address - Phone:410-272-3233
Practice Address - Fax:410-273-9465
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060532207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD001774400Medicaid
MD001774400Medicaid
MDG80496Medicare UPIN