Healthcare Provider Details

I. General information

NPI: 1871121848
Provider Name (Legal Business Name): SONALI NANDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PETER JEFFERSON PKWY STE 310
CHARLOTTESVILLE VA
22911-8836
US

IV. Provider business mailing address

600 PETER JEFFERSON PKWY STE 310
CHARLOTTESVILLE VA
22911-8836
US

V. Phone/Fax

Practice location:
  • Phone: 434-977-0027
  • Fax: 434-923-3376
Mailing address:
  • Phone: 434-977-0027
  • Fax: 434-923-3376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number38351
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: