Provider Demographics
NPI:1487645362
Name:SONI, POWLIMI J (MD)
Entity Type:Individual
Prefix:
First Name:POWLIMI
Middle Name:J
Last Name:SONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:POWLIMI
Other - Middle Name:
Other - Last Name:NADKARNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:761 MAIN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-1080
Mailing Address - Country:US
Mailing Address - Phone:203-838-4000
Mailing Address - Fax:203-845-9535
Practice Address - Street 1:761 MAIN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-1080
Practice Address - Country:US
Practice Address - Phone:203-838-4000
Practice Address - Fax:203-845-9535
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92624207RE0101X
CT050815207RE0101X
KY41779174400000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100064590Medicaid
P00667494OtherRAILRAOD MEDICARE
OH2963646Medicaid
OH2963646Medicaid
P00667494OtherRAILRAOD MEDICARE
KY0974314Medicare PIN
017156I06Medicare ID - Type Unspecified
KY00954038Medicare PIN
KY008580054Medicare PIN