Individual
AJAY SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A84685
CA
2085R0204X
Vascular & Interventional Radiology Physician
A84685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A846850
—
CA
01
—
P00344491
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
12/14/2021
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