Noy Soti, MD
Individual provider Active NPI Specialist · Quartzsite, AZ
NPI 1104882877 · NPPES record last updated Dec 28, 2007
Key facts
- NPI
- 1104882877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 30059 (AZ)
- Practice address
- 394 North Central Blvd
Quartzsite, AZ 85346 - Phone
- (928) 927-5454
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opas & Puangtong Jutabha | Family Medicine | Past | Accepting new patients |
| PBW Optometry PC | Past | Accepting new patients | |
| The Family Eye Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 30059 | AZ | |
| Specialist | 174400000X | 30059 | AZ | Yes |
Addresses
Primary practice location
394 North Central Blvd
Quartzsite, AZ 85346
Mailing address
1790 Bahama Ave
Lake Havasu City, AZ 86403-3670
Phone (928) 399-0803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0738980 | Other | AZ | BCBS |
| 180044778 | Other | AZ | RRMEDICARE |
Other providers in Quartzsite, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.