IRADJ SOOUDI DMD NPI 1609900331

NPI Information

  • NPI: 1609900331
  • Provider Name: IRADJ SOOUDI, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 6TH AVE S
    BIRMINGHAM, AL
    ZIP 35233
  • Phone: (205) 934-9999

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NPI Details

Iradj Sooudi, DMD is a general practice dentist in Birmingham, AL with 50 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Iradj Sooudi, DMD NPI is 1609900331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduation Year:1975

The provider's business location address is:

2000 6TH AVE S
BIRMINGHAM, AL
ZIP 35233-110
Phone: (205) 934-9999

The NPI 1609900331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice07003384ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000005978MEDICAIDALABAMA
205978OTHERALABAMABLUE CROSS
3608346OTHERUNITED CONCORDIA
4T68808MEDICARE UPIN
5000005978MEDICARE ID-TYPE UNSPECIFIEDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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