Provider Demographics
NPI:1841685765
Name:SONAWANE, SNEHAL SHANKAR (MBBS DNB)
Entity type:Individual
Prefix:
First Name:SNEHAL
Middle Name:SHANKAR
Last Name:SONAWANE
Suffix:
Gender:F
Credentials:MBBS DNB
Other - Prefix:DR
Other - First Name:SNEHAL
Other - Middle Name:
Other - Last Name:SHINDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS DNB
Mailing Address - Street 1:530 N LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-1004
Mailing Address - Country:US
Mailing Address - Phone:574-234-4176
Mailing Address - Fax:
Practice Address - Street 1:840 S WOOD ST RM 130CSN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-996-7312
Practice Address - Fax:312-996-7586
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.146365207ZP0101X
IL036146365207ZP0101X, 207ZP0102X
IN01084417A207ZP0102X
OH57.025438390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program