| Ravinder Soodan Md | |
|
72 Sharpe Street Suite A10 Hingham MA 02043 | |
| (781) 331-2010 | |
| (781) 340-9915 |
| Full Name | Ravinder Soodan Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 Sharpe Street, Hingham, Massachusetts |
| Authorized Official Name and Position | Ravinder S Soondan (PRESIDENT) |
| Authorized Official Contact | 7813312010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravinder Soodan Md Po Box 295 S Weymouth MA 02190 Ph: (781) 331-2010 | Ravinder Soodan Md 72 Sharpe Street Suite A10 Hingham MA 02043 Ph: (781) 331-2010 |
| NPI Number | 1356308712 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092812958 |
|---|---|
| Medicare Enrollment ID | O20070530000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356308712 | NPI | - | NPPES |
| 614504 | Other | MA | TUFTS |
| 64627 | Other | MA | HARVARD PILGRIM |
| M16803 | Other | MA | BCBS |
| 9782885 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 59327 (Massachusetts) | Primary |
| Provider Name | Ravinder S Soodan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053488098 PECOS PAC ID: 4284604182 Enrollment ID: I20040728001054 |
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