Healthcare Provider Details

I. General information

NPI: 1427167659
Provider Name (Legal Business Name): NAVAL SONDHI, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PENNSYLVANIA PKWY
INDIANAPOLIS IN
46280-2301
US

IV. Provider business mailing address

PO BOX 68952
INDIANAPOLIS IN
46268-0952
US

V. Phone/Fax

Practice location:
  • Phone: 317-817-1333
  • Fax: 317-817-1331
Mailing address:
  • Phone: 317-802-6306
  • Fax: 317-870-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: NAVAL SONDHI
Title or Position: OWNER
Credential: MD
Phone: 317-817-1333