Active NPI
Suresh Chandra Soni, MD
- Neurology Physician
- Greenwood, SC
National Provider Identifier
1376573576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 082172
- Practice address
- 1325 Spring St
Greenwood, SC 29646-3860 - Phone
- (864) 725-4480
- Fax
- (864) 725-5549
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 082172 | SC | Primary |
Addresses
Primary practice location
1325 Spring St
Greenwood, SC 29646-3860
Mailing address
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082172 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082172 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1376573576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463860",
"telephone_number": "864-725-4480",
"fax_number": "864-725-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463860",
"telephone_number": "864-725-4480",
"fax_number": "864-725-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "SURESH",
"middle_name": "CHANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "082172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082172",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.