Provider Demographics
NPI:1124602255
Name:SONI, JAINISH SURESH
Entity Type:Individual
Prefix:MR
First Name:JAINISH
Middle Name:SURESH
Last Name:SONI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EAST MARKET STREET, 7TH FLOOR
Mailing Address - Street 2:1350
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483
Mailing Address - Country:US
Mailing Address - Phone:330-841-9647
Mailing Address - Fax:330-841-9645
Practice Address - Street 1:EAST MARKET STREET, 7TH FLOOR
Practice Address - Street 2:1350
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483
Practice Address - Country:US
Practice Address - Phone:330-841-9647
Practice Address - Fax:330-841-9645
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program