Individual
BHAVIN VALLABHBHAI SONANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, ST. JOHN'S HOSPITAL, SPRINGFIELD, IL 62702-5324
(217) 544-6464
Mailing address
800 E CARPENTER ST, ST. JOHN'S HOSPITAL, SPRINGFIELD, IL 62702-5324
(217) 544-6464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129239
IL
208M00000X
Hospitalist Physician
Primary
036129239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129239
—
IL
01
—
F400967953
INDIVIDUAL MEDICARE PTAN
IL
01
—
P02708839
RRMEDICARE
IL
Enumeration date
04/12/2010
Last updated
10/03/2023
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