Provider Demographics
NPI:1942492137
Name:SONI, HITEN P (MD)
Entity Type:Individual
Prefix:
First Name:HITEN
Middle Name:P
Last Name:SONI
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 1:901 KENTUCKY ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2823
Mailing Address - Country:US
Mailing Address - Phone:785-393-6167
Mailing Address - Fax:800-965-5680
Practice Address - Street 1:901 KENTUCKY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2823
Practice Address - Country:US
Practice Address - Phone:785-393-6167
Practice Address - Fax:800-965-5680
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04359472084P0800X
MO20120373292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA3165001Medicare Oscar/Certification