MEDICARE: RAVIJA SHRIRAM SONI

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	225100000X	Physical Therapist	PT298381	CA
2	225100000X	Physical Therapist	044148	NY

General Provider Information

NPI Number	:	1689232050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVIJA SHRIRAM SONI

Provider Business Mailing Address
First Line	:	1895 MOWRY AVE
Second Line	:	STE 118A
City	:	FREMONT
State	:	CA
Zip	:	94538-1736
Country	:	US
Telephone Number	:	718-975-6794
Fax Number	:	718-975-6794

Provider Business Practice Location Address
First Line	:	1671 W 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1104
Country	:	US
Telephone Number	:	718-975-6795
Fax Number	:

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

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	05/21/2020

Similar Medicare Providers

1700755246 — SKILLS NYC INCORPORATED
Practice Location Address:

1671 W 10TH ST FL 1
BROOKLYN, NY
11223-1104

Practice Phone: 718-314-6330
Practice Fax:

1154271195 — ANASTASIYA DADASHEV
Practice Location Address:

1671 W 10TH ST
BROOKLYN, NY
11223-1104

Practice Phone: 718-314-6330
Practice Fax:

1053859207 — AMERICAN MEDICAL COMPANY
Practice Location Address:

1671 W 10TH ST
BROOKLYN, NY
11223-1104

Practice Phone: 718-975-6793
Practice Fax:

1619484938 — YASSER TARIK ELBANNA
Practice Location Address:

1671 W 10TH ST
BROOKLYN, NY
11223-1104

Practice Phone: 917-499-9955
Practice Fax:

1942718937 — MOHAMED ABDELRAHMAN
Practice Location Address:

1671 W 10TH ST
BROOKLYN, NY
11223-1104

Practice Phone: 917-499-9955
Practice Fax:

1417647553 — GO PHARMACY INC.
Practice Location Address:

1104 AVENUE U
BROOKLYN, NY
11223-5020

Practice Phone: 718-701-6228
Practice Fax:

Directions to “ RAVIJA SHRIRAM SONI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.