Soud, Mohammad G

Soud, Mohammad G is an individual health care provider with primary practice located at 6012 N Teal Wood Cir , Peoria IL 61615-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Soud, Mohammad G can be contacted via phone (309) 691-9312.

Contact Information

Primary practice address
6012 N Teal Wood Cir Peoria IL 61615-2231
Phone: (309) 691-9312
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36091049 Illinois

Profile Details

NPI number 1902016256
LBN Legal business name Soud, Mohammad G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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