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Individual

DR. SONIA B. MOKGETHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.087261
OH
207L00000X
Anesthesiology Physician
Primary
MD072150L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640226
ANTHEM BCBS
OH
01
001658923
HIGHMARK BCBS
PA
01
086418ZB29
MEDICARE PTAN
PA
05
1011674500003
PA
05
2593831
OH
01
P00810807
MEDICARE RAILROAD
PA
Enumeration date
12/14/2005
Last updated
07/15/2015
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