Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD424529 | PA |
N | 111NI0900X | Internist | MD424529 | PA |
Y | 207RH0000X | Hematologist | 4301095672 | MI |
N | 207RH0003X | Hematology & Oncology | 4301095672 | MI |
N | 207RH0003X | Hematology & Oncology | MT184586 | PA |
N | 207RX0202X | Medical Oncology | 4301095672 | MI |
NPI | 1093877938 |
---|---|
Provider Name | Suman Lata Sood |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 23/03/2020 |