MEDICARE: SONIA CARAO SAWAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	C42333	CA

General Provider Information

NPI Number	:	1215914205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA CARAO SAWAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1997
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-1997
Country	:	US
Telephone Number	:	760-379-5631
Fax Number	:	760-379-2482

Provider Business Practice Location Address
First Line	:	12424B MOUNT MESA RD
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9720
Country	:	US
Telephone Number	:	760-379-5631
Fax Number	:	760-379-2482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	07/08/2007

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