Basic Information
Provider Information
NPI: 1356584411
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANEJA
FirstName: SONIA
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1307 FEDERAL ST STE B201
Address2: PITTSBURGH
City: PITTSBURGH
State: PA
PostalCode: 152124774
CountryCode: US
TelephoneNumber: 4123593355
FaxNumber: 4123596216
Practice Location
Address1: 1307 FEDERAL ST STE B201
Address2: PITTSBURGH
City: PITTSBURGH
State: PA
PostalCode: 152124774
CountryCode: US
TelephoneNumber: 4123593355
FaxNumber: 4123596216
Other Information
ProviderEnumerationDate: 04/19/2009
LastUpdateDate: 08/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD453644PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
10304019205PA MEDICAID


Home