# SHANNON COMLEY SOOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902811615
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 227312 | NY | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000409908001 | BSNENY | NY |
| 05 | — | 02673912 | — | NY |
| 01 | — | 061214000028 | FIDELIS | NY |
| 01 | — | 100556 | GHI/HMO | NY |
| 01 | — | 10099368 | CDPHP | NY |
| 01 | — | 200253 | SENIOR WHOLE HEALTH | NY |
| 01 | — | 384959 | MVP | NY |
| 01 | — | 3X6311 | EMPIRE BC | NY |
| 01 | — | 7586702 | AETNA | NY |