MEDICARE: SOPHIA APARNA SOHONI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	32668	AZ

General Provider Information

NPI Number	:	1316019656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA APARNA SOHONI MD

Provider Business Mailing Address
First Line	:	1300 HANCOCK ST
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2809
Country	:	US
Telephone Number	:	503-266-0000
Fax Number	:	650-326-6700

Provider Business Practice Location Address
First Line	:	1300 HANCOCK ST
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2809
Country	:	US
Telephone Number	:	650-326-6000
Fax Number	:	650-326-6700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/17/2020

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