Provider Demographics
NPI:1518901099
Name:HUGHES, SONJA JOHNSON (MD)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:JOHNSON
Last Name:HUGHES
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 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-657-3950
Mailing Address - Fax:405-471-0040
Practice Address - Street 1:4833 INTEGRIS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8864
Practice Address - Country:US
Practice Address - Phone:405-657-3950
Practice Address - Fax:405-471-0040
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22308207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H46760Medicare UPIN
H46760Medicare UPIN
900522214Medicare ID - Type UnspecifiedGROUP MEDICARE