Individual
SUJATHA SOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(107) 151-0000
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003883
NY
208M00000X
Hospitalist Physician
Primary
2015-00228
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03405456
—
NY
Enumeration date
07/07/2008
Last updated
06/11/2020
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