Basic Information
Provider Information
NPI: 1609119890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SONDHEIMER
FirstName: TAVOR
MiddleName: NAOMI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 IRVING ST NW
Address2: DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028773891
FaxNumber:  
Practice Location
Address1: 110 IRVING ST NW
Address2: DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028778035
FaxNumber: 2028775435
Other Information
ProviderEnumerationDate: 04/05/2013
LastUpdateDate: 06/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD045325DCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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