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Basem Soud, MD

General Practice in Brooklyn, NY. Individual provider (NPI-1).

NPI number1033045802
StatusActive
Last updated in NPPESJun 19, 2026

Details

NPI
1033045802
Entity type
Individual (NPI-1)
Name
Basem Soud
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 19, 2026
Certification date
Jun 19, 2026
Last updated
Jun 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeP141566NYYes

Practice location

701 Avenue U
Brooklyn, NY 11223

Phone 718-336-0100 · Fax 718-336-0100

Mailing address

11 Washington Dr Apt C
Woodland Park, NJ 07424-3114

Phone 908-590-0340

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