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Individual
DR. SONNY WIN
Active
Individual
DR. SONNY WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9695909-1205
UT
207R00000X
Internal Medicine Physician
J9444
TX
208M00000X
Hospitalist Physician
Primary
9695909-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161613
RR/MEDICARE
TX
01
—
1040222-01
CSHCN
TX
05
—
1040222-02
—
TX
01
—
83X685
BLUE SHIELD
TX
Enumeration date
04/06/2006
Last updated
12/20/2021
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