MEDICARE: HAIBA SONYIKA, MD, PC

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	207VX0000X	Obstetrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265670665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIBA SONYIKA, MD, PC

Provider Business Mailing Address
First Line	:	155 CARNEGIE PL
Second Line	:	SUITE 203
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3981
Country	:	US
Telephone Number	:	678-817-6991
Fax Number	:	678-817-6992

Provider Business Practice Location Address
First Line	:	155 CARNEGIE PL
Second Line	:	SUITE 203
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3981
Country	:	US
Telephone Number	:	678-817-6991
Fax Number	:	678-817-6992

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. HAIBA SONYIKA
Credential	:	MD
Telephone Number	:	678-817-6991

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	01/23/2009

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