Provider Demographics
NPI:1497048177
Name:KAVEH, SONYA NEDA (MD)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:NEDA
Last Name:KAVEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14915 BROSCHART RD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3350
Mailing Address - Country:US
Mailing Address - Phone:301-838-4912
Mailing Address - Fax:301-251-4666
Practice Address - Street 1:14915 BROSCHART RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3350
Practice Address - Country:US
Practice Address - Phone:301-838-4912
Practice Address - Fax:301-251-4666
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT529322084P0804X, 2084P0800X
MD817352084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry