=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871976563
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAYA SONKAR MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2015
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21216 NORTHWEST FWY STE 230
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77429-4695
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-276-5595
-----------------------------------------------------
Fax | 314-405-9678
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13100 WORTHAM CENTER DR # 307
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77065-5625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-695-9122
-----------------------------------------------------
Fax | 314-405-9678
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | S1924
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------