1013054360 NPI number — DR. PARVEEN ROSELINE SONDHI MD

Table of content: DR. PARVEEN ROSELINE SONDHI MD (NPI 1013054360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013054360 NPI number — DR. PARVEEN ROSELINE SONDHI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SONDHI
Provider First Name:
PARVEEN
Provider Middle Name:
ROSELINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SONDHI
Provider Other First Name:
PARVEEN
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013054360
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 SEVENTH AVENUE
Provider Second Line Business Mailing Address:
STE 405
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-366-6171
Provider Business Mailing Address Fax Number:
212-229-2265

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 SEVENTH AVENUE
Provider Second Line Business Practice Location Address:
STE 405
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-366-6171
Provider Business Practice Location Address Fax Number:
212-229-2265
Provider Enumeration Date:
01/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  188116 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)