Healthcare Provider Details

I. General information

NPI: 1427464031
Provider Name (Legal Business Name): DR. SONYA KALIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date: 11/27/2018
Reactivation Date: 12/04/2023

III. Provider practice location address

1 UNIVERSITY PKWY
HIGH POINT NC
27268-0002
US

IV. Provider business mailing address

1 UNIVERSITY PKWY
HIGH POINT NC
27268-0002
US

V. Phone/Fax

Practice location:
  • Phone: 336-841-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number13477
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: