Individual
DR. DAMIAN SOOKLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-4050
(276) 258-4056
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239640
VA
208M00000X
Hospitalist Physician
Primary
0101239640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356338495
—
VA
05
—
1525573
—
TN
01
—
P00413882
RR MEDICARE
VA
01
—
P01471268
RAILROAD MEDICARE
VA
Enumeration date
10/04/2005
Last updated
05/08/2024
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