| Doctor Name: | MRS. SOHELI ANAR AZAD |
| NPI Number: | 1093924755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | 047363 |
| Business Practice Address: | 70-17 37th Avenue 1st Floor Jackson Heights, NY - 11372 |
| Business Phone Number: | 7186725050 |
| Business Fax Number: | 7185655686 |
| Mailing Address: | 99-02 220th Street, Pvt House QUEENS VILLAGE |
| State: | NY |
| Postal Code: | 11429 |
| Phone Number: | 7186725050 |
| Fax Number: | 7185655686 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 047363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |