Individual
GAYATRI SONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1340 CHARLES ST STE 400, ROCKFORD, IL 61104-2200
(779) 696-9512
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036139501
IL
207T00000X
Neurological Surgery Physician
H0070755
MD
207T00000X
Neurological Surgery Physician
U6176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9131
MEDICAL LICENSE
CA
Enumeration date
03/06/2008
Last updated
05/17/2024
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