Individual
ELLIE SOUGANIDIS
Active
Individual
ELLIE SOUGANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD460773
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD460773
PA
Other
Enumeration date
05/05/2013
Last updated
11/28/2023
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