Individual
KHYATI SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 479-2300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71596
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091658
—
WI
Enumeration date
05/05/2016
Last updated
08/12/2025
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