Provider Demographics
NPI:1508097221
Name:LALWANI, SONESH K (MD)
Entity Type:Individual
Prefix:
First Name:SONESH
Middle Name:K
Last Name:LALWANI
Suffix:
Gender:M
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:HARLEM HOSPITAL CENTER DEPARTMENT OF PEDIATRICS
Mailing Address - Street 2:506 LENOX AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HARLEM HOSPITAL CENTER DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:506 LENOX AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287432208000000X
TXN3807208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN3807OtherTMB
NY287432OtherLICENSE