SONTAEK THEODORE LEE


Address: 11217 Lockwood Dr, Silver Spring, MD 20901-4550
Phone: 3016817712

SONTAEK THEODORE LEE (NPI# 1053330894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053330894
Entity Type Individual
Full Name SONTAEK THEODORE LEE
Credential M.D.
Practice Address 11217 Lockwood Dr
Silver Spring
MD 20901-4550
Practice Telephone 3016817712
Practice Fax Number 3016817734
Mailing Telephone 3016817712
Mailing Fax Number 3016817734
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
D0014522 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6280366 05
MD STATE LICENSE D0014522 01
DEA BL0371207 01

Office Location

Street Address 11217 LOCKWOOD DR
City SILVER SPRING
State MD
Zip Code 20901-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831259902 Chitra R Chari Psychiatry & Neurology 11217 Lockwood Dr, Silver Spring, MD 20901-4550 2006-12-11

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1821579921 Veronique Morelle Ngamgouo Nde Home Health Aide 8711 Arliss Street Atpt. 1, Silver Spring, MD 20901 2018-08-27
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1558861641 Lorivi Gabrintina Occupational Therapist 1520 Prosperity Drive, Suite #210, Silver Spring, MD 20901 2018-02-15
1821503194 Esther Nannerl Mae Nanga Biyo Home Health Aide 100 Croydon Ct Apt 6, Silver Spring, MD 20901 2017-12-08
1457878910 Adebola B Ibirogba Family Medicine 209 Hartwell Road, Silver Spring, MD 20901 2017-08-25
1679095509 Eleonore B Jatsa Home Health Aide 11200 Lockwood Drive, Apt 905, Silverspring, MD 20901 2017-07-12
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386626802 Matrice Washington Browne Obstetrics & Gynecology 15824 Laughlin Ln, Silver Spring, MD 20906-1073 2005-11-18
1447250832 Victoria Diaz Obstetrics & Gynecology 11031 Lockwood Dr, Silver Spring, MD 20901-4532 2005-07-28
1477697852 Uma Ramakrishna Obstetrics & Gynecology 15200 New Hampshire Ave, Mcc Medical Clinic, Silver Spring, MD 20905-5631 2007-02-17
1548359011 Iris E Dominy Obstetrics & Gynecology 9801 Georgia Ave, 338, Silver Spring, MD 20902-5276 2006-10-12
1659305563 Paul H Mccauley Obstetrics & Gynecology 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1459 2006-07-10
1194706788 Allan Michael Lazarus Obstetrics & Gynecology 10801 Lockwood Dr, 320, Silver Spring, MD 20901-1556 2005-11-10
1639150758 Laurie Tyau Obstetrics & Gynecology 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 2005-11-07
1386635597 Robert E Badwey Obstetrics & Gynecology 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 2005-11-04
1821089327 Thomas Hampton Goodridge Obstetrics & Gynecology 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 2005-11-02
1467443960 Rolando Perez Obstetrics & Gynecology 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 2005-11-02
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Competitor

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City SILVER SPRING
Zip Code 20901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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