Provider Demographics
NPI:1538241344
Name:SODHI, RANBIR S (MD)
Entity type:Individual
Prefix:DR
First Name:RANBIR
Middle Name:S
Last Name:SODHI
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 1:8 PARK PL
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13452-1332
Mailing Address - Country:US
Mailing Address - Phone:518-568-5410
Mailing Address - Fax:518-568-3216
Practice Address - Street 1:8 PARK PL
Practice Address - Street 2:
Practice Address - City:ST JOHNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13452-1332
Practice Address - Country:US
Practice Address - Phone:518-568-5410
Practice Address - Fax:518-568-3216
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122476207QA0505X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC59819Medicare UPIN