Provider Demographics
NPI:1427205939
Name:ANAND-NICHOLS, SONIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:ANAND-NICHOLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:ANAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:FOX ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98333-0760
Mailing Address - Country:US
Mailing Address - Phone:360-539-8487
Mailing Address - Fax:360-358-9944
Practice Address - Street 1:8014 WARREN DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6011
Practice Address - Country:US
Practice Address - Phone:360-539-8487
Practice Address - Fax:360-358-9944
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA093597002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0390593Medicaid
NJ329490C04Medicare PIN