Provider Demographics
NPI:1356383608
Name:KHEIR, SONIA MIKHAIL (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:MIKHAIL
Last Name:KHEIR
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 1:405 GLENN DR
Mailing Address - Street 2:STE 10A
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164
Mailing Address - Country:US
Mailing Address - Phone:703-404-8189
Mailing Address - Fax:703-404-1131
Practice Address - Street 1:405 GLENN DR
Practice Address - Street 2:STE 10A
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164
Practice Address - Country:US
Practice Address - Phone:703-404-8189
Practice Address - Fax:703-404-1131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039312207ND0900X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Not Answered207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6601839Medicaid
VA6601839Medicaid