Provider Demographics
NPI:1215914205
Name:SAWAL, SONIA CARAO (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:CARAO
Last Name:SAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1997
Mailing Address - Street 2:
Mailing Address - City:LAKE ISABELLA
Mailing Address - State:CA
Mailing Address - Zip Code:93240-1997
Mailing Address - Country:US
Mailing Address - Phone:760-379-5631
Mailing Address - Fax:760-379-2482
Practice Address - Street 1:12424B MOUNT MESA RD
Practice Address - Street 2:
Practice Address - City:LAKE ISABELLA
Practice Address - State:CA
Practice Address - Zip Code:93240-9720
Practice Address - Country:US
Practice Address - Phone:760-379-5631
Practice Address - Fax:760-379-2482
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42333207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease