Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | MD0000030492 | TN |
Y | 207WX0107X | Retina Specialist | MD0000030492 | TN |
NPI | 1003991167 |
---|---|
Provider Name | Dr. Peter L Sonkin |
First Address | Nashville, TN 37203-1596 |
Second Address | Nashville, TN 37203-1596 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 17/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G29363 | (02) | TN |