Healthcare Provider Details

I. General information

NPI: 1275920944
Provider Name (Legal Business Name): SONALI SHETH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 W LAS POSITAS BLVD STE 100
PLEASANTON CA
94588-8537
US

IV. Provider business mailing address

5925 W LAS POSITAS BLVD STE 100
PLEASANTON CA
94588-8537
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-1755
  • Fax:
Mailing address:
  • Phone: 925-462-1755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number181396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: