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Individual

DR. JASON A. SORIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101251118
VA
2084N0400X
Neurology Physician
Primary
043489
GA
2084N0400X
Neurology Physician
22636
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.139166
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I138999
MEDICARE PTAN
GA
05
G43489
SC
01
ME112191
STATE LICENSE
FL
01
P01290090
RAILROAD MEDICARE
GA
Enumeration date
07/07/2006
Last updated
11/20/2025
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