Soodan, Ravinder S
Soodan, Ravinder S is an individual health care provider with primary practice located at 72 Sharp St Suite A10, Hingham MA 02043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Soodan, Ravinder S can be contacted via phone (781) 331-2010.Contact Information
Primary practice address
72 Sharp St Suite A10
Hingham MA 02043
Phone: (781) 331-2010
Fax: (781) 340-9915
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 59327 | Massachusetts |
Profile Details
NPI number | 1053488098 |
---|---|
LBN Legal business name | Soodan, Ravinder S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2006 |
Last updated | Aug 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053488098 | NPPES |
Massachusetts | MEDICAID | 3038131 | |
Massachusetts | Other | 64627 | |
Massachusetts | Other | J07570 | |
Massachusetts | Other | 059327 |
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