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Contact Information

SOPHIA MA
5330 S 900 E STE 120
SALT LAKE CITY, UT84117-3504
 Phone: 801-266-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SOPHIA MA · (Female)

NPI # 1124448824
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2014
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A161797
  • UT License # 13303540-1205
Hospital affiliation(s)
  • ST PETERSBURG GENERAL HOSPITAL - (Acute Care)
    6500 38TH AVE N
    SAINT PETERSBURG, FL 33710
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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