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NPI Code Detail

MEDICARE: PINA RISHIKESH SONI ANP

MEDICARE: PINA RISHIKESH SONI ANP
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
1363L00000XNurse Practitioner685497TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00424852OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48N9843OTHERTXBCBS

General Provider Information

NPI Number : 1447250014
Entity Type Code : Individual
Provider Name (Legal Business Name) : PINA RISHIKESH SONI ANP
Provider Business Mailing Address
First Line : PO BOX 650866
Second Line :
City : DALLAS
State : TX
Zip : 75265-0866
Country : US
Telephone Number : 972-175-5000
Fax Number :
Provider Business Practice Location Address
First Line : 13737 NOEL ROAD
Second Line : SUITE 1400
City : DALLAS
State : TX
Zip : 75240-2004
Country : US
Telephone Number : 972-715-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 05/22/2014

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Directions to “ PINA RISHIKESH SONI ANP” Practice Location

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