Healthcare Provider Details

I. General information

NPI: 1336431980
Provider Name (Legal Business Name): RAJIV SONTI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR ROAD 4 MAIN
WASHINGTON, DC DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8830
  • Fax:
Mailing address:
  • Phone: 202-444-8830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD042228
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: