Soosaipillai, Ivan
Soosaipillai, Ivan is an sole proprietor health care provider with primary practice located at 3306 Sw 26Th Ave Suite 104, Ocala FL 34471-7856. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Soosaipillai, Ivan can be contacted via phone (352) 622-2020.Contact Information
Primary practice address
3306 Sw 26Th Ave Suite 104
Ocala FL 34471-7856
Phone: (352) 622-2020
Fax: (352) 622-2025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME95964 | Florida |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME95964 | Florida |
Profile Details
NPI number | 1649289059 |
---|---|
LBN Legal business name | Soosaipillai, Ivan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2006 |
Last updated | Jul 7th, 2011 - about 14 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 | 1649289059 | NPPES |
Florida | Other | 56424 | BCBS |
Florida | MEDICAID | 279943000 | BCBS |
Florida | Other | P00750221 | BCBS |
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