Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 63195 | AZ |
N | 207NP0225X | Pediatric Dermatologist | 63195 | AZ |
NPI | 1043620065 |
---|---|
Provider Name | Dr. Arun Sood |
First Address | Scottsdale, AZ 85260-3696 |
Second Address | Phoenix, AZ 85028-6016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2014 |
Last Update Date | 06/10/2021 |