Provider Demographics
NPI:1679528509
Name:SONDE, MEHRU MASTER (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHRU
Middle Name:MASTER
Last Name:SONDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEHRU
Other - Middle Name:
Other - Last Name:SONDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1665
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-220-8346
Mailing Address - Fax:301-381-9261
Practice Address - Street 1:5454 WISCONSIN AVE STE 1665
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-220-8346
Practice Address - Fax:301-381-9261
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050514207R00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD448110100Medicaid
MDP00888634Medicare PIN
VAVAA102394Medicare PIN
MDDG0518Medicare PIN
MD182455YA20Medicare PIN
MDDO6229Medicare PIN
VA002576YAY8Medicare PIN
MDG51880Medicare UPIN
MDP01330421Medicare PIN
MDP00888643Medicare PIN
MDP01330421Medicare PIN