Individual
DR. DEVIKA HANUMARA SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1179 T J JACKSON DR, FALLING WATERS, WV 25419-4698
(304) 820-1031
(304) 820-1033
Mailing address
1179 T J JACKSON DR, FALLING WATERS, WV 25419-4698
(304) 820-1031
(304) 820-1033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV23371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013779
—
WV
Enumeration date
03/17/2008
Last updated
01/17/2023
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