Healthcare Provider Details

I. General information

NPI: 1609190131
Provider Name (Legal Business Name): SONIA WALIA RANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29201 TELEGRAPH RD STE 301
SOUTHFIELD MI
48034-7646
US

IV. Provider business mailing address

29201 TELEGRAPH RD STE 301
SOUTHFIELD MI
48034-7646
US

V. Phone/Fax

Practice location:
  • Phone: 248-356-1321
  • Fax: 248-864-8865
Mailing address:
  • Phone: 248-356-1321
  • Fax: 248-864-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number4301096399
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4301096399
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: