Provider Demographics
NPI:1326341678
Name:GIRISH KUMAR SONPAL MD PA
Entity Type:Organization
Organization Name:GIRISH KUMAR SONPAL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIRISH KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SONPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-445-0500
Mailing Address - Street 1:14965 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3646
Mailing Address - Country:US
Mailing Address - Phone:718-445-0500
Mailing Address - Fax:718-445-3749
Practice Address - Street 1:14965 24TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3646
Practice Address - Country:US
Practice Address - Phone:718-445-0500
Practice Address - Fax:718-445-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty