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SUNRISE MEDICAL GROUP LLC NPI 1336195734


NPI Information

NPI: 1336195734
Provider Name: SUNRISE MEDICAL GROUP, LLC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
2401 RESEARCH BLVD
SUITE 350
ROCKVILLE, MD
ZIP 20850
Phone: (301) 330-6982
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SUNRISE MEDICAL GROUP, LLC is a critical care medicine internal medicine in Rockville, MD. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. SUNRISE MEDICAL GROUP, LLC NPI is 1336195734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2401 RESEARCH BLVD
SUITE 350
ROCKVILLE, MD
ZIP 20850-215
Phone: (301) 330-6982
Fax: (301) 260-2838

The provider's authorized official is Vikramaditya D Reddy .
The authorized official title is Primary Partner and has the following contact phone number (301) 570-9700.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 4/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseD43464MARYLANDNo
2207RC0200XInternal MedicineCritical Care MedicineD43464MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1174500000MEDICAIDMARYLAND
2G00072MEDICARE ID-TYPE UNSPECIFIEDGROUP ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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