Provider Demographics
NPI:1396799276
Name:SUGG, SONIA L (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:L
Last Name:SUGG
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 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-1763
Mailing Address - Fax:319-356-8378
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-356-1763
Practice Address - Fax:319-356-8378
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA37122208600000X, 2086X0206X
WI42742208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
009000315GOtherHUMANA
IA01051OtherWELLMARK BCBS
WI34016100Medicaid
IA0765057Medicaid
IA0765057Medicaid
009000315GOtherHUMANA
IA01051OtherWELLMARK BCBS
IAI19742Medicare PIN