Provider Demographics
NPI:1518068865
Name:MANKODI, SONAL V (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:V
Last Name:MANKODI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:104 ENDICOTT ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3623
Mailing Address - Country:US
Mailing Address - Phone:978-882-6700
Mailing Address - Fax:978-646-8553
Practice Address - Street 1:104 ENDICOTT ST
Practice Address - Street 2:SUITE 104
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3623
Practice Address - Country:US
Practice Address - Phone:978-882-6700
Practice Address - Fax:978-646-8553
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-01-31
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Provider Licenses
StateLicense IDTaxonomies
MA152004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine