Provider Demographics
NPI:1114955796
Name:TULI, SONAL S (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:S
Last Name:TULI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONAL
Other - Middle Name:SANJEEV
Other - Last Name:TULI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6201 W NEWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4305
Mailing Address - Country:US
Mailing Address - Phone:352-265-7080
Mailing Address - Fax:352-265-7081
Practice Address - Street 1:6201 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4305
Practice Address - Country:US
Practice Address - Phone:352-265-7080
Practice Address - Fax:352-265-7081
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80266207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259400500Medicaid
FL35890YMedicare PIN