Provider Demographics
NPI:1801110119
Name:HANSEN, SONYA (MD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONIA
Other - Middle Name:STELLA
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:415 DAIRY RD
Mailing Address - Street 2:SUITE E-407
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2398
Mailing Address - Country:US
Mailing Address - Phone:808-385-1856
Mailing Address - Fax:808-242-5949
Practice Address - Street 1:24 N CHURCH ST
Practice Address - Street 2:SUITE 403
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1680
Practice Address - Country:US
Practice Address - Phone:808-385-1856
Practice Address - Fax:808-242-5949
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8650207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine