Provider Demographics
NPI:1487040606
Name:SONO, REIRI (MD,MS)
Entity type:Individual
Prefix:MS
First Name:REIRI
Middle Name:
Last Name:SONO
Suffix:
Gender:F
Credentials:MD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN STREET
Mailing Address - Street 2:MSB 2.136
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:165-005-3017
Mailing Address - Fax:713-500-0695
Practice Address - Street 1:6431 FANNIN STREET
Practice Address - Street 2:MSB 2.136
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:165-005-3017
Practice Address - Fax:713-500-0695
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48382207ZC0006X, 207ZP0007X, 207ZP0102X
CAA161016207ZC0006X, 207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology