Individual
SOOD SUCHART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6036 N 19TH AVE, STE 311, PHOENIX, AZ 85015
(602) 242-4804
(602) 242-9635
Mailing address
6036 N 19TH AVE, STE 311, PHOENIX, AZ 85015
(602) 242-4804
(602) 242-9635
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2754822
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041911
AHCCCS
—
01
—
0050080
BCBS
AZ
Enumeration date
01/30/2006
Last updated
07/08/2007
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