Provider Demographics
NPI:1972737385
Name:SOOD, MOHIT (DO)
Entity type:Individual
Prefix:DR
First Name:MOHIT
Middle Name:
Last Name:SOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2449
Mailing Address - Country:US
Mailing Address - Phone:609-653-4535
Mailing Address - Fax:609-365-5303
Practice Address - Street 1:649 SHORE RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2449
Practice Address - Country:US
Practice Address - Phone:609-653-4535
Practice Address - Fax:609-365-5303
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09088300208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery