Individual provider · Type 1 NPI
Basdai Sirju Sookoor, RN, CCM
Case Management Registered Nurse · Brandon, FL
NPI number
1013491380
Active
Practice location
1420 Mallory Sail Pl
Brandon, FL 33511-2387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 9216102 (FL) |
Case Management Registered Nurse: Definition to come...
About NPI 1013491380
Basdai Sirju Sookoor, RN, CCM's National Provider Identifier is 1013491380, issued on Sep 21, 2018. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Brandon, FL. The record was last updated on Sep 21, 2018.