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Contact Information

SUNRISE MEDICAL CLINIC, LLC
6201 GREENBELT RD
SUITE M-17
COLLEGE PARK, MD20740-2354
 Phone: 301-220-9500
 Fax: 301-982-0321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUNRISE MEDICAL CLINIC LLC · (Female)

NPI Number 1871824391
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2010
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # D0065418
  • MD Medicaid 027374100
  • MD Other 11328638 CAQH
Hospital affiliation(s) Not Available
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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