Basic Information
| Provider Information | |||||||||
| NPI: | 1578527685 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SONDHI | ||||||||
| FirstName: | VIKRAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 532 SUMNER AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011082458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137391100 | ||||||||
| FaxNumber: | 4137371643 | ||||||||
| Practice Location | |||||||||
| Address1: | 532 SUMNER AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011082458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137391100 | ||||||||
| FaxNumber: | 4137371643 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 03/05/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 223598 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000030815 | 01 | MA | PROVIDER HEALTHNET NUMBER | OTHER | 36426 | 01 | MA | HNE | OTHER | 3968488 | 01 | AETNA | OTHER | J28811 | 01 | MA | PROVIDER BC/BS NUMBER | OTHER | 2556555 | 01 | UNITED HEALTHCARE | OTHER | AA35906 | 01 | MA | PROVIDERHARVARDPILGRIM # | OTHER | 0036004 | 01 | MA | PROVIDER NHP NUMBER | OTHER | 131780 | 01 | FALLON CARE | OTHER | 968630 | 01 | MA | NETWORK HEALTH NUMBER | OTHER | 04-10604 | 01 | MA | EVERCARE | OTHER | 1310097 | 05 | MA | MEDICAID | 223598 | 01 | CONNECTICARE | OTHER | 3261396 | 01 | MA | PROVIDER CIGNA NUMBER | OTHER |