Provider Demographics
NPI:1902003544
Name:PATEL, SONAL SAXENA (MD)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:SAXENA
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 WASHINGTON ST
Mailing Address - Street 2:APT 7H
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-3200
Mailing Address - Country:US
Mailing Address - Phone:504-473-2586
Mailing Address - Fax:
Practice Address - Street 1:660 WASHINGTON ST
Practice Address - Street 2:APT 7H
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-3200
Practice Address - Country:US
Practice Address - Phone:504-473-2586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2378952080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine