Individual
DR. SUMITRA EASWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43480 YUKON DR STE 100, KAISER PERMANENTE ASHBURN MEDICAL CENTER, ASHBURN, VA 20147-6988
(571) 252-6000
(571) 252-6011
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242702
VA
207R00000X
Internal Medicine Physician
D0072428
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360994
ANTHEM
OH
05
—
2558905
—
OH
01
—
5993114
CIGNA
OH
01
—
R85053
SUMMACARE
OH
Enumeration date
06/11/2006
Last updated
02/08/2022
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