Organization
SUNRISE FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BARAY (MD)
(703) 476-9300
Entity
Organization
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 200, RESTON, VA 20191-3493
(703) 476-9300
(703) 476-9304
Mailing address
12359 SUNRISE VALLEY DR STE 200, RESTON, VA 20191-3493
(703) 476-9300
(703) 476-9304
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
BB7494901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010044481
—
VA
01
—
106459
ANTHEM
VA
01
—
1999094
FIRST HEALTH
VA
01
—
297400
AMERIGROUP
VA
01
—
4127655
CIGNA
VA
01
—
5763643
AETNA
—
01
—
G01498
MEDICARE
VA
01
—
J738-0001
CAREFIRST
—
Enumeration date
05/15/2008
Last updated
05/15/2008
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