Individual
PRIYANKA SOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE # B, ATLANTA, GA 30322-5587
(404) 778-2020
Mailing address
1365 CLIFTON RD NE # B, ATLANTA, GA 30322-1013
(404) 778-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
261778
NY
207W00000X
Ophthalmology Physician
Primary
64469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03359771
—
NY
01
—
A400058764
MEDICARE PTAN
NY
Enumeration date
01/28/2008
Last updated
03/17/2018
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