Provider Demographics
NPI:1023275112
Name:JOHN, SONIA (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:JOHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 DICKENS AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2104
Mailing Address - Country:US
Mailing Address - Phone:301-318-0425
Mailing Address - Fax:
Practice Address - Street 1:6501 LANDOVER RD
Practice Address - Street 2:REYES, MEADES AND NAYAK P.A.
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1414
Practice Address - Country:US
Practice Address - Phone:301-772-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067386207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine