Provider Demographics
NPI:1982620027
Name:SONIWALA, SAIFUDDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIFUDDIN
Middle Name:
Last Name:SONIWALA
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 1:148 VISCOUNT DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1770
Mailing Address - Country:US
Mailing Address - Phone:716-688-2652
Mailing Address - Fax:
Practice Address - Street 1:199 PARK CLUB LN
Practice Address - Street 2:#200
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5269
Practice Address - Country:US
Practice Address - Phone:716-634-3340
Practice Address - Fax:716-634-3350
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2096451207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology