DR. MICHAEL LANDRON SOO M.D. NPI 1710978259

NPI Information

NPI: 1710978259
Provider Name: DR. MICHAEL LANDRON SOO, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2609 N DUKE ST
SUITE 604
DURHAM, NC
ZIP 27704
Phone: (919) 220-1881
Get Directions

DR. Michael Landron Soo, M.D. is a specialist in Durham, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael Landron Soo, M.D. NPI is 1710978259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2609 N DUKE ST
SUITE 604
DURHAM, NC
ZIP 27704-048
Phone: (919) 220-1881
Fax: (919) 220-1991

The NPI 1710978259 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 11/3/2005 and was last updated on 11/19/2009.

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
1	174400000X	Specialist		34166	NORTH CAROLINA	Yes

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
1	0239F	OTHER	NORTH CAROLINA	BCBS
2	8978444	MEDICAID	NORTH CAROLINA
3	2171382C	MEDICARE PIN	NORTH CAROLINA
4	130022134	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
5	F33693	MEDICARE UPIN	NORTH CAROLINA
6	562160642	OTHER	NORTH CAROLINA	ALL OTHERS

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »