Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 539604 | TX |
Y | 2084N0402X | Child Neurologist | 133687 | FL |
N | 2084N0600X | Clinical Neurophysiologist | 28170 | FL |
NPI | 1154559045 |
---|---|
Provider Name | Dr. Sreepadma Priya Sonty |
First Address | Doral, FL 33172-2419 |
Second Address | Doral, FL 33172-2419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 17/03/2018 |