Individual
DR. PAWAN K SOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7035 N. CHESTNUT AVENUE, SUITE, FRESNO, CA 93720
(559) 317-2658
(559) 317-2658
Mailing address
7035 N CHESTNUT AVE, SUITE NO. 105, FRESNO, CA 93720
(559) 412-2333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
192922
NY
207R00000X
Internal Medicine Physician
C51821
CA
208M00000X
Hospitalist Physician
Primary
C51821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C518210
—
CA
05
—
01439041
—
NY
Enumeration date
07/19/2005
Last updated
11/20/2017
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