Provider Demographics
NPI:1285713016
Name:RAMAN SOOD, PHYSICIAN, PC
Entity type:Organization
Organization Name:RAMAN SOOD, PHYSICIAN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-366-1223
Mailing Address - Street 1:617 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-2529
Mailing Address - Country:US
Mailing Address - Phone:716-366-1223
Mailing Address - Fax:716-366-6844
Practice Address - Street 1:617 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2529
Practice Address - Country:US
Practice Address - Phone:716-366-1223
Practice Address - Fax:716-366-6844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219466-1207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0136000001Medicare NSC
NY56772AMedicare PIN