Provider Demographics
NPI:1184010225
Name:SONI, PRANAY (BS, MD)
Entity Type:Individual
Prefix:
First Name:PRANAY
Middle Name:
Last Name:SONI
Suffix:
Gender:M
Credentials:BS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:216-636-0454
Practice Address - Street 1:6780 MAYFIELD ROAD
Practice Address - Street 2:HSC1-703-8
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:216-636-0454
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.137133207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty