Individual
SOAIDY SOOKLALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7700
Mailing address
2618 S UHLE ST, ARLINGTON, VA 22206-2915
(703) 901-7199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003515
VA
363A00000X
Physician Assistant
Primary
PA030770
DC
Other
Enumeration date
09/15/2011
Last updated
12/04/2018
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