Individual
JEY A MARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 222-2200
(571) 222-2202
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0101054703
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101054703
VA
207RX0202X
Medical Oncology Physician
0101054703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229537
CIGNA HMO
VA
01
—
0870-0026
BCBS NCA/CARE FIRST
VA
01
—
1335124
AETNA HMO
VA
05
—
1508835067
—
VA
01
—
198214
ANTHEM
VA
01
—
199757
ANTHEM
VA
01
—
2156917
MDIPA/OP CHOICE
VA
01
—
261874
KAISER
VA
01
—
307621
AMERIGROUP
VA
01
—
5405461
AETNA PPO
VA
01
—
541795091
PHCS
VA
01
—
750677
NCPPO
VA
Enumeration date
03/16/2006
Last updated
11/11/2025
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