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Individual
SMITA SUBODH SONWALKAR
Active
Individual
SMITA SUBODH SONWALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087258
RAILROAD- MEDICARE
TX
05
—
152353201
—
TX
01
—
1589454
LA- MEDICAID
LA
05
—
169379801
—
TX
01
—
8F0141
TX-BLUE SHIELD
—
Enumeration date
01/19/2007
Last updated
02/15/2017
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