Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 040807 | CT |
Y | 208600000X | Surgeon | 040807 | CT |
NPI | 1003969056 |
---|---|
Provider Name | Dr. Prashant Soni |
First Address | Danbury, CT 06810-4146 |
Second Address | Danbury, CT 06810-4146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2007 |
Last Update Date | 29/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001408071 | (05) | CT |