MEDICARE: AJAY PAUL SODHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.094202	OH
2	208M00000X	Hospitalist Physician	35.094202	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023258381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY PAUL SODHI MD

Provider Business Mailing Address
First Line	:	1 PRESTIGE PL STE 550
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-6115
Country	:	US
Telephone Number	:	937-762-1310
Fax Number	:	937-522-8068

Provider Business Practice Location Address
First Line	:	600 W MAIN ST
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-3384
Country	:	US
Telephone Number	:	937-395-6665
Fax Number	:	937-395-6668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	04/01/2025

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Directions to “ AJAY PAUL SODHI MD” Practice Location

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