Provider Demographics
NPI:1477869170
Name:SONOLY CARE, INC.
Entity Type:Organization
Organization Name:SONOLY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-604-2500
Mailing Address - Street 1:4401A CONNECTICUT AVE NW
Mailing Address - Street 2:SUIT 276
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2358
Mailing Address - Country:US
Mailing Address - Phone:240-604-2500
Mailing Address - Fax:202-207-2803
Practice Address - Street 1:4401A CONNECTICUT AVE NW
Practice Address - Street 2:SUIT 276
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2358
Practice Address - Country:US
Practice Address - Phone:240-604-2500
Practice Address - Fax:202-207-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD3766207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD3766OtherLICENSE