Provider Demographics
NPI:1306265061
Name:SONEJI, DEEPAK JYOTINDRA (MD, PHD)
Entity type:Individual
Prefix:
First Name:DEEPAK
Middle Name:JYOTINDRA
Last Name:SONEJI
Suffix:
Gender:M
Credentials:MD, PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2850 TELEGRAPH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1159
Mailing Address - Country:US
Mailing Address - Phone:510-204-8140
Mailing Address - Fax:510-506-7721
Practice Address - Street 1:2850 TELEGRAPH AVE STE 110
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1159
Practice Address - Country:US
Practice Address - Phone:510-204-8140
Practice Address - Fax:510-506-7721
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1610722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology