Organization
DHANRAJ J. SOOGREE M.D. P.C.
Active
Other names
Fourth Street Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DHANRAJ JATTAN SOOGREE M.D. (OWNER)
(315) 342-2521
Entity
Organization
Contact information
Practice address
144 W 4TH ST, OSWEGO, NY 13126-2504
(315) 342-2521
(315) 342-4277
Mailing address
144 W 4TH ST, OSWEGO, NY 13126-2504
(315) 342-2521
(315) 342-4277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000115478
BLUE SHIELD
NY
05
—
01857538
—
NY
01
—
1194755322
BCBS NY EXCELLUS
NY
Enumeration date
03/28/2008
Last updated
02/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us