Provider Demographics
NPI:1730613175
Name:SOOD, ASHVIN R (MD)
Entity type:Individual
Prefix:
First Name:ASHVIN
Middle Name:R
Last Name:SOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1806 SUMMIT AVENUE
Mailing Address - Street 2:SUITE 300 PMB 2177
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230
Mailing Address - Country:US
Mailing Address - Phone:917-740-4819
Mailing Address - Fax:
Practice Address - Street 1:231 N NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935-2884
Practice Address - Country:US
Practice Address - Phone:920-926-8100
Practice Address - Fax:920-926-8101
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2023-04-04
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Provider Licenses
StateLicense IDTaxonomies
DC2100022902084P0800X
VA01012755702084P0800X
NY2947142084P0800X
WI81140-202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry