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Individual

DR. DAVOOD SOORIASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
1210 BLACK DIAMOND DR APT 5, CARBONDALE, IL 62901-5158
(904) 868-6904

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME26368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057778200
FL
Enumeration date
08/16/2006
Last updated
03/25/2016
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