1144322108 NPI number — SHIKHAR SONI MD

Table of content: SHIKHAR SONI MD (NPI 1144322108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144322108 NPI number — SHIKHAR SONI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SONI
Provider First Name:
SHIKHAR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144322108
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5607 PALMYRA RD UNIT 942
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSFORD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14534-7047
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-425-4400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 CORAL HILLS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORAL SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33065-4108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-344-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2006

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: 207LC0200X , with the licence number:  ME97149 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , with the licence number: ME97149 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 036195100 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139715 . This is a "ANTHEM BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0154 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 002227600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010113016 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 242842 . This is a "KAISER" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 3570662 . This is a "AETNA HMO" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 666688 . This is a "NCPPO" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 7078554 . This is a "AETNA NONHMO" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".