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NPI Code Detail

MEDICARE: DR. SONJI LYNETTE BOYD M.D.

MEDICARE: DR. SONJI LYNETTE BOYD 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
1207Q00000XFamily Medicine Physician71049OH

Other Identifiers

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

General Provider Information

NPI Number : 1861418345
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONJI LYNETTE BOYD M.D.
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3791
Fax Number : 216-201-6316
Provider Business Practice Location Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-434-7200
Fax Number : 216-432-7259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 04/18/2025

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