Provider Demographics
NPI:1881012821
Name:SOOD, RISHI RAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RISHI
Middle Name:RAJAN
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6915 LAUREL BOWIE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1715
Mailing Address - Country:US
Mailing Address - Phone:301-262-1087
Mailing Address - Fax:240-436-2850
Practice Address - Street 1:900 23RD ST NW
Practice Address - Street 2:STE 11104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2342
Practice Address - Country:US
Practice Address - Phone:202-715-5185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD861762085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty