Provider Demographics
NPI:1437348281
Name:SETHI, SONAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:
Last Name:SETHI
Suffix:
Gender:F
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 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:10970 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE 280
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-0100
Practice Address - Country:US
Practice Address - Phone:713-436-7500
Practice Address - Fax:713-436-7505
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2472207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00644825OtherRAILROAD MEDICARE
TX8AQ009OtherBCBS
TX196295302Medicaid
TX196295304Medicaid
TX196295301Medicaid
TX196295303Medicaid
TXTXB110399Medicare PIN
TXP00644825OtherRAILROAD MEDICARE
TX196295302Medicaid
TX8L5591Medicare PIN
TX8AQ009OtherBCBS