# ICU ON DEMAND, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609692045
- **Authorized official:** KHALD SOROUR MD (OWNER)
- **Authorized official phone:** (401) 692-5292

## Contact information

- **Practice address:** 15 LITTLE BOOT LN, WESTWOOD, MA 02090-2648
- **Practice address phone:** (104) 692-5292
- **Mailing address:** 15 LITTLE BOOT LN, WESTWOOD, MA 02090-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 12/02/2024
- **Last updated:** 12/02/2024