Provider Demographics
NPI:1871121848
Name:NANDA, SONALI (MD)
Entity type:Individual
Prefix:
First Name:SONALI
Middle Name:
Last Name:NANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PETER JEFFERSON PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8836
Mailing Address - Country:US
Mailing Address - Phone:434-977-0027
Mailing Address - Fax:434-923-3376
Practice Address - Street 1:600 PETER JEFFERSON PKWY STE 310
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8836
Practice Address - Country:US
Practice Address - Phone:434-977-0027
Practice Address - Fax:434-923-3376
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK38351207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program