Provider Demographics
NPI:1366856189
Name:SONI, VIKRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:
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 1:30 W 63RD ST
Mailing Address - Street 2:APT 16VW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7103
Mailing Address - Country:US
Mailing Address - Phone:832-922-9136
Mailing Address - Fax:
Practice Address - Street 1:30 W 63RD ST
Practice Address - Street 2:APT 16VW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7103
Practice Address - Country:US
Practice Address - Phone:832-922-9136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program