Provider Demographics
NPI:1982102133
Name:SONIA ANAND-NICHOLS MD PC
Entity Type:Organization
Organization Name:SONIA ANAND-NICHOLS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND-NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-310-8087
Mailing Address - Street 1:PO BOX 714
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-0714
Mailing Address - Country:US
Mailing Address - Phone:215-310-8087
Mailing Address - Fax:215-940-9690
Practice Address - Street 1:5735 RIDGE AVE STE 101
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1746
Practice Address - Country:US
Practice Address - Phone:215-310-8087
Practice Address - Fax:215-940-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0390593Medicaid