Provider Demographics
NPI:1255307914
Name:SONI, ARVIND B (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:B
Last Name:SONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743409
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3409
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:727-832-1325
Practice Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-870-4160
Practice Address - Fax:813-554-8084
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1072482085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002656000Medicaid
IL036107288Medicaid
ILP00629318Medicare PIN
FLRO3441YMedicare PIN
IL218890Medicare PIN
ILR01668Medicare PIN
FL002656000Medicaid
FLR03441Medicare PIN
IL036107288Medicaid
FLP01316686Medicare PIN
IL355040Medicare PIN