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NPI Code Detail

MEDICARE: DR. ABHA SONI D.O.

MEDICARE: DR. ABHA SONI D.O.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician83397GA
2207ND0900XDermatopathology Physician83397GA

General Provider Information

NPI Number : 1689019184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABHA SONI D.O.
Provider Business Mailing Address
First Line : 1400 W PEACHTREE ST NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2975
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 LAKE PARK DR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-7611
Country : US
Telephone Number : 678-556-9411
Fax Number : 678-556-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2013
Last Update Date : 07/23/2019

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Directions to “ DR. ABHA SONI D.O.” Practice Location

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