Shobana Sood
Dermatologist
3400 Spruce St 2 Rhoads Pavilion
Philadelphia
, Pennsylvania 19104
Shobana Sood
Dermatologist
3400 Spruce St 2 Rhoads Pavilion
Philadelphia
, Pennsylvania 19104
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Shobana Sood
- 3400 Spruce St 2 Rhoads Pavillion
- Philadelphia, PA
- Zip : 19104-4206
- Phone :
Second Address
- Shobana Sood
- 3400 Spruce St 2 Rhoads Pavilion
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 349-8339
- Phone : (215) 662-2737
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD068267L | PA |
National Provider Identifier
| NPI | 1043236110 |
|---|---|
| Provider Name | Shobana Sood |
| First Address | Philadelphia, PA 19104-4206 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 21/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0017549260001 | (05) | PA |
| G74820 | (02) |
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.