Individual
MRIDULA SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-3142
(207) 760-8170
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-3142
(207) 760-8170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19354
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699854117
—
ME
Enumeration date
11/03/2006
Last updated
11/27/2023
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