Provider Demographics
NPI:1124281134
Name:SEO-PATEL, SONYOUNG (MD)
Entity type:Individual
Prefix:DR
First Name:SONYOUNG
Middle Name:
Last Name:SEO-PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:SEO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2150 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3834
Mailing Address - Country:US
Mailing Address - Phone:419-291-2192
Mailing Address - Fax:419-479-3297
Practice Address - Street 1:2150 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3834
Practice Address - Country:US
Practice Address - Phone:419-291-2192
Practice Address - Fax:419-479-3297
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446590207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology