Healthcare Provider Details

I. General information

NPI: 1144538299
Provider Name (Legal Business Name): ARJUN KRISHAN SOBTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 COLISEUM DR
HAMPTON VA
23666-5963
US

IV. Provider business mailing address

PO BOX 844723
BOSTON MA
02284-4723
US

V. Phone/Fax

Practice location:
  • Phone: 757-736-1621
  • Fax:
Mailing address:
  • Phone: 866-759-4524
  • Fax: 757-512-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101269281
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number0101269281
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: