Provider Demographics
NPI:1427079276
Name:SODHI, NATASHA N (MD)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:N
Last Name:SODHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 RIDGE RD E
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-9375
Mailing Address - Country:US
Mailing Address - Phone:315-589-4641
Mailing Address - Fax:315-589-9585
Practice Address - Street 1:4418 RIDGE RD E
Practice Address - Street 2:WILLIAMSON MEDICAL PLLC
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589-9375
Practice Address - Country:US
Practice Address - Phone:315-589-4641
Practice Address - Fax:315-589-9585
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY020237116OtherBLUE CHOICE
NY189652BFOtherPREFERRED CARE
NY02845141Medicaid
NY189652BFOtherPREFERRED CARE
H23593Medicare UPIN