DHANRAJ J. SOOGREE M.D. P.C. NPI 1679745764

NPI Information

  • NPI: 1679745764
  • Provider Name: DHANRAJ J. SOOGREE M.D. P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FOURTH STREET FAMILY MEDICINE
  • Address: 144 W 4TH ST
    OSWEGO, NY
    ZIP 13126
  • Phone: (315) 342-2521

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NPI Details

DHANRAJ J. SOOGREE M.D. P.C. is a family medicine in Oswego, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DHANRAJ J. SOOGREE M.D. P.C. NPI is 1679745764. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fourth Street Family Medicine.

The provider's business location address is:

144 W 4TH ST
OSWEGO, NY
ZIP 13126-504
Phone: (315) 342-2521
Fax: (315) 342-4277

The provider's authorized official is Dhanraj Jattan Soogree .
The authorized official title is Owner and has the following contact phone number (315) 342-2521.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 2/22/2010.

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
1207Q00000XFamily Medicine210443NEW YORKYes

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
1000115478OTHERNEW YORKBLUE SHIELD
2J400000636MEDICARE PINNEW YORK
31194755322OTHERNEW YORKBCBS NY EXCELLUS
401857538MEDICAIDNEW YORK
5BA0277MEDICARE PINNEW YORK

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: 11/21/2025

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