Individual
DR. SONNY WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
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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