Surendra J Sood
Nuclear Medicine Specialist Endocrinologist (Diabetes Doctor)
600 Coffee Rd
Modesto
, California 95355-4201
Surendra J Sood
Nuclear Medicine Specialist Endocrinologist (Diabetes Doctor)
600 Coffee Rd
Modesto
, California 95355-4201
(209) 524-1211
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Surendra J Sood
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
Second Address
- Surendra J Sood
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A25705 | CA |
| Y | 207U00000X | Nuclear Medicine Specialist | A25705 | CA |
National Provider Identifier
| NPI | 1336197300 |
|---|---|
| Provider Name | Surendra J Sood |
| First Address | Modesto, CA 95355-4201 |
| Second Address | Modesto, CA 95355-4201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 07/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A257050 | (05) | CA |
| A24545 | (02) | CA |
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.