Provider Demographics
NPI:1710480603
Name:CHAR, SOHANI
Entity Type:Individual
Prefix:DR
First Name:SOHANI
Middle Name:
Last Name:CHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1902
Mailing Address - Country:US
Mailing Address - Phone:954-262-7194
Mailing Address - Fax:954-262-3744
Practice Address - Street 1:7600 SW 36TH ST
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-7194
Practice Address - Fax:954-262-3744
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9969103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent