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Individual
MADIHA EMRAN SOOFI
Active
Individual
MADIHA EMRAN SOOFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2019-00909
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2019-00909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275096497
—
NC
01
—
2019-00909
NORTH CAROLINA MEDICAL BOARD LICENSE
NC
01
—
201W9
BCBS OF NC
NC
01
—
NN6849A
MEDICARE
NC
Enumeration date
04/14/2019
Last updated
08/21/2019
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