Provider Demographics
NPI:1386010544
Name:DINANI, SONALI BARKAT (PHARM D)
Entity Type:Individual
Prefix:
First Name:SONALI
Middle Name:BARKAT
Last Name:DINANI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-7052
Mailing Address - Country:US
Mailing Address - Phone:404-386-2979
Mailing Address - Fax:
Practice Address - Street 1:684 W BANKHEAD HWY
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1601
Practice Address - Country:US
Practice Address - Phone:779-459-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist