Organization
NITA SUMIDA, M.D. , P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITA SUMIDA M.D. (OWNER)
(703) 734-1069
Entity
Organization
Contact information
Practice address
8320 OLD COURTHOUSE RD, SUITE 100, VIENNA, VA 22182-3831
(703) 734-1069
(703) 288-7892
Mailing address
6773 LITTLE FALLS RD, ARLINGTON, VA 22213-1223
(703) 734-1069
(703) 288-7892
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169355
ANTHEM
—
01
—
5456737
CIGNA
—
01
—
633048
NCPPO
—
01
—
7233026
AETNA
—
01
—
9371416
PHCS
—
01
—
K169
CAREFIRST BCBS
—
Enumeration date
09/03/2006
Last updated
08/22/2020
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