Healthcare Provider Details

I. General information

NPI: 1164452876
Provider Name (Legal Business Name): SONAL DHOLAKIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9090 KATY FWY STE 200
HOUSTON TX
77024-1696
US

IV. Provider business mailing address

9090 KATY FWY STE 200
HOUSTON TX
77024-1696
US

V. Phone/Fax

Practice location:
  • Phone: 832-522-8720
  • Fax: 713-468-3691
Mailing address:
  • Phone: 832-522-8720
  • Fax: 713-468-3691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK65653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: