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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SONIA J MABOUT, PA-C

Active

SONIA J MABOUT, PA-C is a Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1770610289 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FAIRFAX, VA

Registration Details

NPI Number
1770610289
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2007 (19.452979184485 yrs)
Last Updated
Jun 13, 2020
Licenses
0010-01955 (NC)
0110005904 (VA)

Practice Information

Address
2812 OLD LEE HWY # 100B-D
FAIRFAX, VA, 220314315
Browse VA providers · Browse ZIP 22031
Phone
5712796849
Fax
5712818697
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FAIRFAX, VA

Name Credential NPI
DAMON J LICARI PA 1962495069
MRS. JULIE B CROCKER PA 1346235843
SORAYA YUNUS P.A. 1285620567
MR. PAUL DAVID FALKENSTEIN PAC 1558337048
STEPHANIE ANNE SHEPARD PA 1396705174
MAGGIE LYNN IPSARO PA-C 1376509109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.