Provider Demographics
NPI:1780263277
Name:QUIROZA, SOFIA ANDREEVNA (DO, MS)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:ANDREEVNA
Last Name:QUIROZA
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:NONE
Other - Last Name:PIKALOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:905 WILD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3209
Mailing Address - Country:US
Mailing Address - Phone:412-266-4297
Mailing Address - Fax:
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-882-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program