Healthcare Provider Details

I. General information

NPI: 1801893011
Provider Name (Legal Business Name): SONIA SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8751 MOUNTAIN VALLEY RD
FAIRFAX STATION VA
22039-2823
US

IV. Provider business mailing address

8751 MOUNTAIN VALLEY RD
FAIRFAX STATION VA
22039-2823
US

V. Phone/Fax

Practice location:
  • Phone: 703-615-9891
  • Fax: 703-615-9891
Mailing address:
  • Phone: 703-615-9891
  • Fax: 703-615-9891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD600003827
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0097681
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101236489
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: