MEDICARE: DR. SAIFUDDIN SONIWALA M.D.

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	207RH0003X	Hematology & Oncology Physician	2096451	NY

General Provider Information

NPI Number	:	1982620027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAIFUDDIN SONIWALA M.D.

Provider Business Mailing Address
First Line	:	148 VISCOUNT DR
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-1770
Country	:	US
Telephone Number	:	716-688-2652
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 PARK CLUB LN
Second Line	:	#200
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5269
Country	:	US
Telephone Number	:	716-634-3340
Fax Number	:	716-634-3350

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/16/2014

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