Individual
IVAN SOOSAIPILLAI
Active
Individual
IVAN SOOSAIPILLAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95964
FL
207RI0200X
Infectious Disease Physician
Primary
ME95964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279943000
—
FL
01
—
56424
BCBS
FL
01
—
P00750221
RR MEDICARE
FL
Enumeration date
08/05/2006
Last updated
07/07/2011
Update your record
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