Provider Demographics
NPI:1801873898
Name:SOOD, RAJAN (MD)
Entity type:Individual
Prefix:
First Name:RAJAN
Middle Name:
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3060 MITCHELLVILLE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1389
Mailing Address - Country:US
Mailing Address - Phone:301-249-8100
Mailing Address - Fax:301-390-8086
Practice Address - Street 1:3060 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1389
Practice Address - Country:US
Practice Address - Phone:301-249-8100
Practice Address - Fax:301-390-8086
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2007-11-26
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Provider Licenses
StateLicense IDTaxonomies
MDD29097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD29097OtherLICENSE
DC454346B74Medicare PIN