Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 67649 | WI |
Y | 207RG0100X | Gastroenterologist | T0628 | TX |
NPI | 1023347770 |
---|---|
Provider Name | Niket Sonpal |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-4906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 03/06/2021 |