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Individual

RENU SONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-3470
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35064611
OH
207RH0003X
Hematology & Oncology Physician
Primary
35064611
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0947033
OH
Enumeration date
07/07/2005
Last updated
01/08/2021
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