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Individual

AJENDRA S SOHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6525
(516) 572-3170
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6525
(516) 572-3170

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
189088
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
189088
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01464135
NY
Enumeration date
03/08/2006
Last updated
04/10/2008
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