Provider Demographics
NPI:1992118210
Name:BUHAIN, SONAL GANDHI (RN, BSN, PHN)
Entity type:Individual
Prefix:MS
First Name:SONAL
Middle Name:GANDHI
Last Name:BUHAIN
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24085 AMADOR ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1222
Mailing Address - Country:US
Mailing Address - Phone:510-385-3149
Mailing Address - Fax:951-358-5019
Practice Address - Street 1:24085 AMADOR ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1222
Practice Address - Country:US
Practice Address - Phone:510-385-3149
Practice Address - Fax:951-358-5019
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847633163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management