MEDICARE: SONYA PATRICIA PHILLIPS MD

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	207RI0200X	Infectious Disease Physician	42639	KY
2	208M00000X	Hospitalist Physician	35.093741	OH
3	207RI0200X	Infectious Disease Physician	35-093741	OH

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	:	1477587384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA PATRICIA PHILLIPS MD

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:	CENTRAL CREDENTIALING
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-5505
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	231 ALBERT SABIN WAY
Second Line	:	ML 0560
City	:	CINCINNATI
State	:	OH
Zip	:	45267-2827
Country	:	US
Telephone Number	:	513-584-6977
Fax Number	:	513-584-6386

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/27/2022

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Directions to “ SONYA PATRICIA PHILLIPS MD” Practice Location

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