Provider Demographics
NPI:1356575666
Name:SOOD, RISHI
Entity type:Individual
Prefix:DR
First Name:RISHI
Middle Name:
Last Name:SOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROHITASH
Other - Middle Name:
Other - Last Name:SOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 E 101ST ST
Mailing Address - Street 2:APARTMENT 12 H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6528
Mailing Address - Country:US
Mailing Address - Phone:804-305-0493
Mailing Address - Fax:
Practice Address - Street 1:3 E 101ST ST
Practice Address - Street 2:APARTMENT 12 H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6528
Practice Address - Country:US
Practice Address - Phone:804-305-0493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2615872084P0800X, 208000000X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry