MS. BASDAI SIRJU SOOKOOR


Address: 1420 Mallory Sail Pl, Brandon, FL 33511-2387
Phone: 8137277131

MS. BASDAI SIRJU SOOKOOR (NPI# 1013491380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013491380
Entity Type Individual
Full Name MS. BASDAI SIRJU SOOKOOR
Credential RN, CCM
Practice Address 1420 Mallory Sail Pl
Brandon
FL 33511-2387
Practice Telephone 8137277131
Mailing Telephone 8137277131
Enumeration Date 2018-09-21
Last Update Date 2018-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
9216102 FL Nursing Service Providers

Office Location

Street Address 1420 MALLORY SAIL PL
City BRANDON
State FL
Zip Code 33511-2387

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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