Provider Demographics
NPI:1467466748
Name:VS SONI CHARTERED PSC
Entity Type:Organization
Organization Name:VS SONI CHARTERED PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-333-4349
Mailing Address - Street 1:9064 US HIGHWAY 60 W
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:KY
Mailing Address - Zip Code:42459
Mailing Address - Country:US
Mailing Address - Phone:270-333-4349
Mailing Address - Fax:
Practice Address - Street 1:9064 US HIGHWAY 60 W
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:KY
Practice Address - Zip Code:42459
Practice Address - Country:US
Practice Address - Phone:270-333-4349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY183951Medicare Oscar/Certification