Provider Demographics
NPI:1750528543
Name:ORCUTT, SONIA TEWANI (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:TEWANI
Last Name:ORCUTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:TEWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:1 BAYLOR PLAZA
Practice Address - Street 2:SUITE 404D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3131
Practice Address - Country:US
Practice Address - Phone:713-798-8629
Practice Address - Fax:713-798-8941
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10030809208600000X
ARE-15549208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery