Provider Demographics
NPI:1760740609
Name:DEVAUL, SONJA KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:KATHLEEN
Last Name:DEVAUL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-8080
Mailing Address - Fax:202-877-7633
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-8080
Practice Address - Fax:202-877-7633
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-29
Last Update Date:2015-08-03
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Provider Licenses
StateLicense IDTaxonomies
DCMD043257207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine