Provider Demographics
NPI:1851460372
Name:POND, SONEATH LANG HANG (MD)
Entity Type:Individual
Prefix:
First Name:SONEATH
Middle Name:LANG HANG
Last Name:POND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1302 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2201
Mailing Address - Country:US
Mailing Address - Phone:401-780-0600
Mailing Address - Fax:401-780-0844
Practice Address - Street 1:1302 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2201
Practice Address - Country:US
Practice Address - Phone:401-780-0600
Practice Address - Fax:401-780-0844
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI10102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI04-06646OtherUNITED HEALTH CARE
RI2625OtherNEIGHBORHOOD HEALTH PLAN
RI25992-9OtherBLUE CROSS
RI405534OtherBLUE CHIP
RI25992-9OtherLIFESPANBLUE
RI406179OtherTUFTS
RI9002754Medicaid
RI406179OtherTUFTS