Provider Demographics
NPI:1093843286
Name:CHOKSHI, SONALI M (MD)
Entity Type:Individual
Prefix:DR
First Name:SONALI
Middle Name:M
Last Name:CHOKSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONALI
Other - Middle Name:J
Other - Last Name:DAVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:608 READING RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-3001
Mailing Address - Country:US
Mailing Address - Phone:513-564-6880
Mailing Address - Fax:513-564-6885
Practice Address - Street 1:608 READING RD
Practice Address - Street 2:SUITE C
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3001
Practice Address - Country:US
Practice Address - Phone:513-564-6880
Practice Address - Fax:513-564-6885
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-085193207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0101100Medicaid
OHH192250Medicare PIN
OH2019130Medicaid
G87344Medicare UPIN
CH4275791Medicare PIN
OH9320251Medicare ID - Type Unspecified