Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 257011 | MA |
NPI | 1124299755 |
---|---|
Provider Name | Nitesh Sood |
First Address | Fairhaven, MA 02719-5252 |
Second Address | Fall River, MA 02720-5239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 27/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110098088A | (05) | MA |