Sotoudeh, Shannon Jean

Sotoudeh, Shannon Jean is an individual health care provider with primary practice located at 333 Dr Martin Luther King Jr St N , Saint Petersburg FL 33701-2717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Sotoudeh, Shannon Jean can be contacted via phone (727) 825-0111.

Contact Information

Primary practice address
333 Dr Martin Luther King Jr St N Saint Petersburg FL 33701-2717
Phone: (727) 825-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME149545 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME149545 Florida

Profile Details

NPI number 1174028732
LBN Legal business name Sotoudeh, Shannon Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Sep 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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