Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME149213 | FL |
NPI | 1235163387 |
---|---|
Provider Name | Rajiv Sood |
First Address | Augusta, GA 30914-2330 |
Second Address | Englewood, CO 80113-2769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E76527 | (02) |