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Individual

ANSHU SOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
621 S NEW BALLAS RD STE 3016B, SAINT LOUIS, MO 63141
(314) 251-6339
(314) 251-4564
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2842
(510) 879-9128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119834
IL
207R00000X
Internal Medicine Physician
Primary
2012011183
MO
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
5158
NE
208M00000X
Hospitalist Physician
036119834
IL
208M00000X
Hospitalist Physician
2012011183
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119834
IL
05
1659598225
IL
01
5158
TEP
NE
Enumeration date
04/18/2007
Last updated
10/03/2019
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