| Sanjiv Sood, M.d. Pc | |
|
3060 Mitchellville Rd Suite 102 Bowie MD 20716-1389 | |
| (301) 249-8440 | |
| (301) 249-4033 |
| Full Name | Sanjiv Sood, M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3060 Mitchellville Rd, Bowie, Maryland |
| Authorized Official Name and Position | Sanjiv Sood (OWNER) |
| Authorized Official Contact | 3012498440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjiv Sood, M.d. Pc 3060 Mitchellville Rd Suite 102 Bowie MD 20716-1389 Ph: (301) 249-8440 | Sanjiv Sood, M.d. Pc 3060 Mitchellville Rd Suite 102 Bowie MD 20716-1389 Ph: (301) 249-8440 |
| NPI Number | 1194964957 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Medicare PECOS PAC ID | 3173670809 |
|---|---|
| Medicare Enrollment ID | O20090414000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194964957 | NPI | - | NPPES |
| 529321900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D37697 (Maryland) | Primary |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20050414000793 |
| Provider Name | Sanjiv Sood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154368298 PECOS PAC ID: 1153495932 Enrollment ID: I20081010000519 |
| Provider Name | Michael S Ballo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780648550 PECOS PAC ID: 2163498239 Enrollment ID: I20171227000308 |
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