Provider Demographics
NPI:1275196057
Name:BISHNOI, SONALI LAXMI (DO)
Entity type:Individual
Prefix:MISS
First Name:SONALI
Middle Name:LAXMI
Last Name:BISHNOI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2074
Mailing Address - Country:US
Mailing Address - Phone:302-623-7600
Mailing Address - Fax:302-266-6169
Practice Address - Street 1:4745 OGLETOWN STANTON RD STE 220
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2074
Practice Address - Country:US
Practice Address - Phone:302-623-7600
Practice Address - Fax:302-266-6169
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0104548207R00000X, 207RC0200X, 207RP1001X
DEC2-0024812207R00000X, 207RC0200X, 207RP1001X
PAOS023369207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine