Davood Sooriash M.D.

NPI 1093828964 - Surgery - 208600000X

NPI Details
NPI 1093828964
Gender Male
Enumeration Date 08/16/2006
Last Updated 03/25/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone (618) 997-5311
Fax
Business Location
1210 BLACK DIAMOND DR APT 5
CARBONDALE IL, 62901-5158, US
Phone (904) 868-6904
Fax (904) 724-9365
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME26368
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According to our database, Dr. Davood Sooriash M.D. NPI is 1093828964, taxonomy code is 208600000X and license number is ME26368, license state is located at Florida. Davood Sooriash M.D. physically located at 2401 W Main St, Marion IL, 62959-1188. NPI Number Davood Sooriash M.D. has the Individual type.

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1093828964 NPI number is provided on an as is basis without warranty of any kind. 1093828964 is maintained by the National Plan & Provider Enumeration System. The contents of Davood Sooriash M.D. are for informational purposes only.