Dr. Idean Sotoudeh Deilamy, MD
Hospitalist in Spring Hill, FL. Individual provider (NPI-1).
NPI number1982108676
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1982108676
- Entity type
- Individual (NPI-1)
- Name
- Dr. Idean Sotoudeh Deilamy
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2018
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | ME150268 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207R00000X | Internal Medicine | ME150268 | FL |
Practice location
5350 Spring Hill DrSpring Hill, FL 34606-4562
Phone 352-688-8116 · Fax 352-686-9477
Mailing address
14690 Spring Hill Dr Ste 305Spring Hill, FL 34609-8102
Phone 352-277-5348 · Fax 352-606-2857
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