Basic Information
| Provider Information | |||||||||
| NPI: | 1073791877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SONAWALA | ||||||||
| FirstName: | ANUJ | ||||||||
| MiddleName: | BHARAT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1661 E. CAMELBACK RD | ||||||||
| Address2: | ARIZONA PATHOLOGY GROUP | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850163911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6024412000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1661 E CAMELBACK RD | ||||||||
| Address2: | ARIZONA PATHOLOGY GROUP | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850163911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6024412000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2008 | ||||||||
| LastUpdateDate: | 07/19/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | 43249 | AZ | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0102X | L9493 | TX | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD0000042850 | TN | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | 58932 | GA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | 43249 | AZ | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | 048547 | CT | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.