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Individual

DR. PROMILA SOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
33 MAIN DR, NORTH WARREN, PA 16365-5001
(814) 726-4317
(814) 726-4447
Mailing address
315 N STATE ST, NORTH WARREN, PA 16365-4867
(814) 726-2579

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD038894L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260015298
RAILRAOD MEDICARE #
Enumeration date
07/06/2006
Last updated
05/15/2008
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