Individual
DR. JAIDEV C SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036056110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056110
—
IL
01
—
110002655
RR MEDICARE
—
Enumeration date
11/08/2005
Last updated
09/20/2019
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