Provider Demographics
NPI:1578549663
Name:SONI, ANIL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:KUMAR
Last Name:SONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:94 STANDISH RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1118
Mailing Address - Country:US
Mailing Address - Phone:781-726-3371
Mailing Address - Fax:844-557-3817
Practice Address - Street 1:94 STANDISH RD
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1118
Practice Address - Country:US
Practice Address - Phone:781-726-3371
Practice Address - Fax:844-557-3817
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151146207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3162150Medicaid
G34068Medicare UPIN
MA3162150Medicaid