Provider Demographics
NPI:1114195633
Name:ECARMA, SONIA VERZOSA (MD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:VERZOSA
Last Name:ECARMA
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 1:1310 HEATHERWOODE RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2335
Mailing Address - Country:US
Mailing Address - Phone:810-230-0937
Mailing Address - Fax:810-953-6814
Practice Address - Street 1:10800 S SAGINAW ST
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8120
Practice Address - Country:US
Practice Address - Phone:810-953-6836
Practice Address - Fax:810-953-6814
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301043110208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice