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Individual

AJAY SOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-082719
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224459
UNISON
OH
01
000000539446
ANTHEM
OH
05
2408442
OH
01
364035
WELLCARE
OH
01
744712
BUCKEYE
OH
01
7747462
AETNA
OH
01
P00049420
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
06/30/2011
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