Provider Demographics
NPI:1215116835
Name:SONJA LICHTENSTEIN ZAYNEH MD LLC
Entity type:Organization
Organization Name:SONJA LICHTENSTEIN ZAYNEH MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:LICHTENSTEIN
Authorized Official - Last Name:ZAYNEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-355-6634
Mailing Address - Street 1:2127 25TH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662
Mailing Address - Country:US
Mailing Address - Phone:740-355-6634
Mailing Address - Fax:740-355-1273
Practice Address - Street 1:2127 25TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-355-6634
Practice Address - Fax:740-355-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081608L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2339839Medicaid
4093121Medicare PIN
H71274Medicare UPIN