Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 35088674 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | C146913 | CA |
NPI | 1104807718 |
---|---|
Provider Name | Dr. Sandeep Soni |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 10/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2694633 | (05) | OH |
H94847 | (02) | OH |