Individual
DR. PREETI SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
(816) 932-3148
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330012
MO
208M00000X
Hospitalist Physician
2012029920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200966870B
MEDICAID KANSAS-MISSOURI LOCATION
KS
01
—
MA4526040
MEDICARE
MO
01
—
W19000401
MEDICARE
MO
Enumeration date
05/05/2009
Last updated
04/06/2023
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