Organization
SUNRISE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAMADITYA D REDDY M.D. (PRIMARY PARTNER)
(301) 570-9700
Entity
Organization
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 330-6982
(301) 260-2838
Mailing address
11006 VEIRS MILL RD, PMB 261, WHEATON, MD 20902-2582
(240) 489-6260
(240) 489-6266
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D43464
MD
207RP1001X
Pulmonary Disease Physician
D43464
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174500000
—
MD
Enumeration date
05/26/2006
Last updated
04/10/2009
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