Individual
SONTAEK THEODORE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11217 LOCKWOOD DR, SILVER SPRING, MD 20901-4550
(301) 681-7712
(301) 681-7734
Mailing address
11217 LOCKWOOD DR, SILVER SPRING, MD 20901-4550
(301) 681-7712
(301) 681-7734
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0014522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6280366
—
VA
01
—
D0014522
STATE LICENSE
MD
Enumeration date
07/19/2006
Last updated
03/07/2023
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