Basic Information
Provider Information
NPI: 1245611805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILIGIRI
FirstName: SONALI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
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OtherFirstName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1526 SAVANNAH RD
Address2:  
City: LEWES
State: DE
PostalCode: 199581683
CountryCode: US
TelephoneNumber: 3026452244
FaxNumber:  
Practice Location
Address1: 245 N 15TH ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191021101
CountryCode: US
TelephoneNumber: 2157627916
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2015
LastUpdateDate: 10/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMT209644PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X25MA10693800NJN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101XC1-0023897DEY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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