Provider Demographics
NPI:1003991167
Name:SONKIN, PETER L (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:L
Last Name:SONKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:345 23RD AVE N
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1596
Mailing Address - Country:US
Mailing Address - Phone:615-983-6000
Mailing Address - Fax:615-983-6010
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 350
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1596
Practice Address - Country:US
Practice Address - Phone:615-983-6000
Practice Address - Fax:615-983-6010
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000030492207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG29363Medicare UPIN
TN3379053Medicare ID - Type Unspecified