Iradj Sooudi, D.M.D., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

3197 Issued in AL

Legal business name

IRADJ SOOUDI, D.M.D., P.C.

Practice address

2018 Brookwood Medical Ctr Dr
Suite 309
Birmingham, AL 35209-6898

Phone

(205) 877-2931

Fax

(205) 877-2780

NPI assigned

Nov 29, 2010

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Iradj Sooudi, M.D.

Title

Dentist

Phone

(205) 877-2931

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1669774592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-877-2931",
            "fax_number": "205-877-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-877-2931",
            "fax_number": "205-877-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRADJ SOOUDI, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SOOUDI",
        "authorized_official_first_name": "IRADJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-877-2931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Birmingham, AL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.