Provider Demographics
NPI:1255544342
Name:COMPTON, SONIA VISHIN (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:VISHIN
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONIE
Other - Middle Name:
Other - Last Name:VISHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 W MARKET ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1332
Mailing Address - Country:US
Mailing Address - Phone:502-587-8000
Mailing Address - Fax:502-583-8001
Practice Address - Street 1:100 W MARKET ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1332
Practice Address - Country:US
Practice Address - Phone:502-587-8000
Practice Address - Fax:502-583-8001
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01072281A207RP1001X
AL27876207RP1001X
KY46002207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051118288OtherBCBS
AL129243Medicaid
AL051118001OtherBCBS
AL129242Medicaid
AL129244Medicaid
MS05775790Medicaid
AL051118002OtherBCBS
AL129244Medicaid