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Individual

DR. PRAVIN N SONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
279 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1546
(586) 627-0024
(586) 627-0027
Mailing address
2030 BIRCHWOOD WAY, BLOOMFIELD HILLS, MI 48302-1600
(586) 627-0024
(586) 627-0027

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1508812488
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4672842 10
MI
05
4672851 10
MI
Enumeration date
05/25/2006
Last updated
04/21/2014
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