Healthcare Provider Details

I. General information

NPI: 1649955832
Provider Name (Legal Business Name): SOFIIA SONINA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD SSM HEALTH ST. MARY'S HOSPITAL, DEPARTMENT OF INTERNAL
SAINT LOUIS MO
63117
US

IV. Provider business mailing address

6420 CLAYTON RD SSM HEALTH ST. MARY'S HOSPITAL, DEPARTMENT OF INTERNAL
SAINT LOUIS MO
63117
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026024735
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: