Provider Demographics
NPI:1427292945
Name:SONI, EMILY BLOCK (DO)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:BLOCK
Last Name:SONI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATHERINE BLOCK
Other - Last Name:GEIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:23985 NOVI RD STE B102
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5436
Mailing Address - Country:US
Mailing Address - Phone:248-983-1130
Mailing Address - Fax:
Practice Address - Street 1:23985 NOVI RD STE B102
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5436
Practice Address - Country:US
Practice Address - Phone:248-983-1130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1427292945Medicaid