Provider Demographics
NPI:1033102900
Name:SOHN, CHARLES H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:SOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 RIVER PARK PL W
Mailing Address - Street 2:SUITE #440
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1545
Mailing Address - Country:US
Mailing Address - Phone:559-256-5500
Mailing Address - Fax:559-256-5505
Practice Address - Street 1:30 E RIVER PARK PL W
Practice Address - Street 2:SUITE #440
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1545
Practice Address - Country:US
Practice Address - Phone:559-256-5500
Practice Address - Fax:559-256-5505
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG85198207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G851980Medicaid
CAF80856Medicare UPIN
CA00G851980Medicaid