Johari, Soma B
Johari, Soma B is an individual health care provider with primary practice located at 900 Quest Pkwy , Cedar Park TX 78613-2270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johari, Soma B can be contacted via phone (512) 260-6100.Contact Information
Primary practice address
900 Quest Pkwy
Cedar Park TX 78613-2270
Phone: (512) 260-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K9575 | Texas |
Profile Details
| NPI number | 1902866163 |
|---|---|
| LBN Legal business name | Johari, Soma B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 30th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902866163 | NPPES |
| Texas | Other | 1487720-01 | CSHCN |
| Texas | Other | 080172621 | CSHCN |
| Texas | Other | 8B0454 | CSHCN |
| Texas | MEDICAID | 1440869-01 | CSHCN |
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