Provider Demographics
NPI:1003900960
Name:SOHEL, MUHAMMAD J (MD AND INTERNIST)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:J
Last Name:SOHEL
Suffix:
Gender:M
Credentials:MD AND INTERNIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 . LA VETA
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:714-289-8800
Mailing Address - Fax:714-633-9928
Practice Address - Street 1:805 W LA VETA AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3901
Practice Address - Country:US
Practice Address - Phone:714-289-8800
Practice Address - Fax:714-633-9928
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63873174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA63873Medicare ID - Type Unspecified
CA076188Medicare UPIN