Basic Information
| Provider Information | |||||||||
| NPI: | 1467657106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURROUGHS | ||||||||
| FirstName: | SONYA | ||||||||
| MiddleName: | MAKEBA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 641 SLIGO AVE | ||||||||
| Address2: | APT. 105 | ||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209104767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015898714 | ||||||||
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| Practice Location | |||||||||
| Address1: | HOWARD UNIVERSITY HOSPITAL | ||||||||
| Address2: | 2041 GEORGIA AVE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028656100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD035504 | DC | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.