Healthcare Provider Details
I. General information
NPI: 1841081155
Provider Name (Legal Business Name): SIBEL INFUSION CENTERS SONPATKI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3145 SAINT ROSE PKWY STE 150
HENDERSON NV
89052-3559
US
IV. Provider business mailing address
1726 COLE BLVD STE 250
LAKEWOOD CO
80401-3262
US
V. Phone/Fax
- Phone: 725-334-2186
- Fax:
- Phone: 855-478-1528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUE
ELLEN
ROTTURA
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 561-323-8987