Provider Demographics
NPI:1053337949
Name:SOOD, RAMAN KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAMAN
Middle Name:KUMAR
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:722 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-879-4605
Mailing Address - Fax:410-638-0988
Practice Address - Street 1:722 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014
Practice Address - Country:US
Practice Address - Phone:410-879-4605
Practice Address - Fax:410-638-0988
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00332982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD289151400Medicaid
E09087Medicare UPIN
MD289151400Medicaid