Healthcare Provider Details

I. General information

NPI: 1194952507
Provider Name (Legal Business Name): SONIA LEIGH MOLCHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONIA LEIGH WARFIELD MD

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 3215
APO AE
09094-3215
US

IV. Provider business mailing address

UNIT 3215
APO AE
09094-3215
US

V. Phone/Fax

Practice location:
  • Phone: 637-146-2609
  • Fax:
Mailing address:
  • Phone: 637-146-2609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number25782
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: