Healthcare Provider Details

I. General information

NPI: 1235249301
Provider Name (Legal Business Name): MICHAEL L SOBEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 SUGAR EST
ST THOMAS VI
00802-3634
US

IV. Provider business mailing address

5316 YACHT HAVEN GRANDE SUITE N-104, UNIT # 1068
ST THOMAS VI
00802
US

V. Phone/Fax

Practice location:
  • Phone: 614-205-3451
  • Fax:
Mailing address:
  • Phone: 614-205-3451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number02410
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number84380
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number3486
License Number StateVI
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number34005598S
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberDO322
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number02001914A
License Number StateIN
# 7
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number84380
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: