| Sunrise Family Medical Center | |
|
12359 Sunrise Valley Dr Ste 200 Reston VA 20191-3493 | |
| (703) 476-9300 | |
| (703) 476-9304 |
| Full Name | Sunrise Family Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12359 Sunrise Valley Dr Ste 200, Reston, Virginia |
| Authorized Official Name and Position | Ahmad Baray (MD) |
| Authorized Official Contact | 7034769300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Family Medical Center 12359 Sunrise Valley Dr Ste 200 Reston VA 20191-3493 Ph: (703) 476-9300 | Sunrise Family Medical Center 12359 Sunrise Valley Dr Ste 200 Reston VA 20191-3493 Ph: (703) 476-9300 |
| NPI Number | 1689841850 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689841850 | NPI | - | NPPES |
| 106459 | Other | VA | ANTHEM |
| 4127655 | Other | VA | CIGNA |
| J738-0001 | Other | CAREFIRST | |
| 5763643 | Other | AETNA | |
| 1999094 | Other | VA | FIRST HEALTH |
| G01498 | Other | VA | MEDICARE |
| 010044481 | Medicaid | VA | |
| 297400 | Other | VA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | BB7494901 (Virginia) | Primary |
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