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
Fax: (352) 622-2025
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649289059 NPPES
Florida Other 56424 BCBS
Florida MEDICAID 279943000 BCBS
Florida Other P00750221 BCBS

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