Individual
KEVIN D SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 N GEORGE MASON DR, SUITE 310, ARLINGTON, VA 22205-3616
(703) 525-6100
(703) 525-6131
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101235315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135885
—
VA
01
—
CA2348
MEDICARE RAILROAD
—
01
—
P00251146
MEDICARE RAILROAD
—
Enumeration date
07/18/2006
Last updated
10/22/2020
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