Organization
ICU ON DEMAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALD SOROUR MD (OWNER)
(401) 692-5292
Entity
Organization
Contact information
Practice address
15 LITTLE BOOT LN, WESTWOOD, MA 02090-2648
(104) 692-5292
Mailing address
15 LITTLE BOOT LN, WESTWOOD, MA 02090-2648
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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