Provider Demographics
NPI:1295719573
Name:BERDIA, SONYA HORNUNG (MD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:HORNUNG
Last Name:BERDIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONYA
Other - Middle Name:CHRISTINE
Other - Last Name:HORNUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4991 LAKE BROOK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9290
Mailing Address - Country:US
Mailing Address - Phone:888-627-4702
Mailing Address - Fax:804-253-0408
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:NICU
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3357
Practice Address - Country:US
Practice Address - Phone:301-279-6392
Practice Address - Fax:301-217-5388
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058552208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics