Healthcare Provider Details

I. General information

NPI: 1740816263
Provider Name (Legal Business Name): SONIA MASIH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 SOUTHERN BLVD STE 4200
DAYTON OH
45429-0135
US

IV. Provider business mailing address

3000 ARLINGTON AVE # 1091
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 937-294-1489
  • Fax: 937-294-7999
Mailing address:
  • Phone: 419-383-4477
  • Fax: 419-383-3785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number34.018068
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: