Abdus Samad Soudagar
Gastroenterologist
396 Remington Blvd 260
Bolingbrook
, Illinois 60440-4302
Abdus Samad Soudagar
Gastroenterologist
396 Remington Blvd 260
Bolingbrook
, Illinois 60440-4302
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Abdus Samad Soudagar
- 396 Remington Blvd 260
- Bolingbrook, IL
- Zip : 60440-4302
- Phone :
Second Address
- Abdus Samad Soudagar
- 396 Remington Blvd 260
- Bolingbrook, IL
- Zip : 60440-4302
- Phone : (630) 312-2590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 036129936 | IL |
National Provider Identifier
| NPI | 1043447774 |
|---|---|
| Provider Name | Abdus Samad Soudagar |
| First Address | Bolingbrook, IL 60440-4302 |
| Second Address | Bolingbrook, IL 60440-4302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2009 |
| Last Update Date | 31/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.