MEDICARE: JAMES HOWARD SONDHEIMER 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	207R00000X	Internal Medicine Physician	4301046362	MI
2	207RH0005X	Hypertension Specialist Physician	4301046362	MI
3	207RN0300X	Nephrology Physician	4301046362	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0H24844008	OTHER	MI	INDIV MEDICARE #

General Provider Information

NPI Number	:	1992745897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HOWARD SONDHEIMER MD

Provider Business Mailing Address
First Line	:	400 MACK AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4160 JOHN R
Second Line	:	SUITE 917
City	:	DETROIT
State	:	MI
Zip	:	48201-2020
Country	:	US
Telephone Number	:	313-745-4525
Fax Number	:	313-745-0011

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/01/2022

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Directions to “ JAMES HOWARD SONDHEIMER MD” Practice Location

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