Provider Demographics
NPI:1306054150
Name:SONI, NEIL RAAJ (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:RAAJ
Last Name:SONI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9940 TALBERT AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5153
Mailing Address - Country:US
Mailing Address - Phone:714-545-8700
Mailing Address - Fax:
Practice Address - Street 1:9940 TALBERT AVE STE 101
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5153
Practice Address - Country:US
Practice Address - Phone:714-545-8700
Practice Address - Fax:714-545-8084
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2012-11-01
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Provider Licenses
StateLicense IDTaxonomies
CAA978252081H0002X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW8842Medicare PIN