Provider Demographics
NPI:1366692592
Name:ADAM, SONYA (MD)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:ADAM
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 1:1500 CORNERSIDE BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2433
Mailing Address - Country:US
Mailing Address - Phone:703-712-1600
Mailing Address - Fax:703-712-1601
Practice Address - Street 1:1500 CORNERSIDE BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2433
Practice Address - Country:US
Practice Address - Phone:703-712-1600
Practice Address - Fax:703-712-1601
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439374207Q00000X
VA0101254354207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine