Provider Demographics
NPI:1891589651
Name:SOMAN, PERSIS SUSAN (MD)
Entity type:Individual
Prefix:MRS
First Name:PERSIS
Middle Name:SUSAN
Last Name:SOMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:MISS
Other - First Name:PERSIS
Other - Middle Name:SUSAN
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1007 GOODYEAR AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1100
Mailing Address - Country:US
Mailing Address - Phone:256-494-4000
Mailing Address - Fax:
Practice Address - Street 1:1007 GOODYEAR AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1100
Practice Address - Country:US
Practice Address - Phone:256-494-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program