ISSAM D SOUSSOU (MD) – Vascular Surgery Physician, NPI 1104884584
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2023-03-20. Reason: License revocation, suspension, or surrender.
Vascular Surgery Physician
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Provider Addresses for ISSAM D SOUSSOU (MD)
3333, Cattlemen Road, Sarasota County, Florida, 34232, United States
SUITE 206
SARASOTA, FL 342326056
Phone: (941) 341-0042
Fax: (941) 342-3432
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34232)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | FL | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 14 | 13 |
| GENERAL SURGERY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 29 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| - | FL | |
| N E U R O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Internal Medicine | SC |
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