Davood Sooriash is a Surgery in Carbondale, Illinois. Davood Sooriash practices all healthcare services and medical treatments related to Surgery. The NPI Number for Davood Sooriash is 1093828964. The last update date is 2016-03-25.
Davood Sooriash's current location address is 1210 Black Diamond Dr Apt 5, Carbondale, Illinois. You can contact this provider via phone number 9048686904. The mailing address for Davood Sooriash is 1210 Black Diamond Dr Apt 5, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Davood Sooriash |
|---|---|
| Address | 1210 Black Diamond Dr Apt 5, Carbondale, Illinois |
| Phone Number | 9048686904 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093828964 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2016-03-25 |
Provider Mailing Address Detail
| Address | 1210 Black Diamond Dr Apt 5 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629015158 |
| Phone Number | 9048686904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME26368 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57778200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Davood Sooriash by the Centers for Medicare & Medicaid Services?
The Davood Sooriash has been issued the NPI (National Provider Identifier) 1093828964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Davood Sooriash's physical address?
The Davood Sooriash is physically located at 1210 Black Diamond Dr Apt 5, in the city of Carbondale, IL, with the postal code 629015158.
What is Davood Sooriash's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Davood Sooriash's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When was the Davood Sooriash's 1093828964 issued?
The Davood Sooriash's 1093828964 was issued on 2006-08-16.
As of what date were the details pertaining to Davood Sooriash last refreshed?
The information related to the Davood Sooriash, including its address, specialty, and other relevant details, was last updated on 2016-03-25.