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Contact Information

NAGUI N SOROUR, MD
999 S FAIRMONT AVE #100
LODI
LODI, CA95240
 Phone: 209-334-2010
 Fax: 209-334-0132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for NAGUI N SOROUR · (Male)

NPI Number 1609953603
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 02/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A312100
  • CA Medicaid 00A312100
  • CA Other 942658928 COMMERICAL INSURANCE
  • CA Other 0200005210 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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