Individual
ALI SOROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-4299
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
297129
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
01/28/2026
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