Provider Demographics
NPI:1861012858
Name:SOMANI, NICOLE ANISHA (MD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANISHA
Last Name:SOMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANISHA
Other - Middle Name:NICOLE
Other - Last Name:SOMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR UNIT 10915
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-3705
Mailing Address - Fax:319-353-6030
Practice Address - Street 1:200 HAWKINS DR UNIT 10915
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-3705
Practice Address - Fax:319-353-6030
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-52988207WX0107X, 207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program