Provider Demographics
NPI:1285810242
Name:SOOD, VINEET K (MD)
Entity type:Individual
Prefix:DR
First Name:VINEET
Middle Name:K
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1179 T J JACKSON DR STE A
Mailing Address - Street 2:
Mailing Address - City:FALLING WATERS
Mailing Address - State:WV
Mailing Address - Zip Code:25419-4698
Mailing Address - Country:US
Mailing Address - Phone:304-820-1031
Mailing Address - Fax:304-820-1033
Practice Address - Street 1:1179 T J JACKSON DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FALLING WATERS
Practice Address - State:WV
Practice Address - Zip Code:25419
Practice Address - Country:US
Practice Address - Phone:304-820-1031
Practice Address - Fax:304-820-1033
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2023-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101247455207Q00000X
WVWV 23358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP00966069OtherRAILROAD MEDICARE
WV3810014074Medicaid
WV3810014074Medicaid