Individual
SHAUKAT SOOFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
Mailing address
29 APOLLO DR, SOUTHBRIDGE, MA 01550-3063
(508) 981-6062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
APRN10004899
MA
207Q00000X
Family Medicine Physician
APRN10004899
MA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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