Provider Demographics
NPI:1356425268
Name:PASI, SONIA NIYYAR (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:NIYYAR
Last Name:PASI
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 1:3200 BLUE RIDGE RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8086
Mailing Address - Country:US
Mailing Address - Phone:919-510-7901
Mailing Address - Fax:919-510-7902
Practice Address - Street 1:3200 BLUE RIDGE RD
Practice Address - Street 2:SUITE 216
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8086
Practice Address - Country:US
Practice Address - Phone:919-510-7902
Practice Address - Fax:919-510-7902
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002-007652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134N5Medicaid
H88489Medicare UPIN
NC2019572AMedicare PIN
NC89134N5Medicaid