Iradj Sooudi, DMD
Dentist, General Practice in Birmingham, AL. Individual provider (NPI-1).
NPI number1609900331
StatusActive
Last updated in NPPESSep 28, 2016
Details
- NPI
- 1609900331
- Entity type
- Individual (NPI-1)
- Name
- Iradj Sooudi
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2007
- Last updated
- Sep 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 07003384 | AL | Yes |
Practice location
2000 6th Ave SBirmingham, AL 35233-2110
Phone 205-934-9999
Mailing address
Po Box 55310Birmingham, AL 35255-5310
Phone 205-731-9701 · Fax 205-297-9411
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