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Individual
RAVINDER S SOODAN
Active
Individual
RAVINDER S SOODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59327
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059327
TUFTS
—
05
—
3038131
—
MA
01
—
64627
HARVARD PILGRIM
—
01
—
J07570
BCBS
—
Enumeration date
11/28/2006
Last updated
08/14/2012
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