NPI 1053809020

Joel Roderick Soma, MD

Practitioner Family Medicine Physician Eagan, MN

Practice location

Address: 1654 Diffley Rd STE 100, Eagan, MN 55122-2237
Phone: (651) 641-3900
Mailing address: 8170 33rd Ave S Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 65783 (MN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053809020
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2018
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.