| Sunrise Family Medical Care | |
|
9505 19th Ave Se 100 Everett WA 98208-3853 | |
| (425) 353-9191 | |
| (425) 353-0015 |
| Full Name | Sunrise Family Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 9505 19th Ave Se, Everett, Washington |
| Authorized Official Name and Position | Rina Roy (OWNER) |
| Authorized Official Contact | 4253539191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Family Medical Care 9505 19th Ave Se Ste 101 Everett WA 98208-3840 Ph: (425) 353-9191 | Sunrise Family Medical Care 9505 19th Ave Se 100 Everett WA 98208-3853 Ph: (425) 353-9191 |
| NPI Number | 1972727402 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 1658367057 |
|---|---|
| Medicare Enrollment ID | O20040421001645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vincent M Koike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497843213 PECOS PAC ID: 0749276038 Enrollment ID: I20040422000441 |
| Provider Name | Madhurina X Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013056787 PECOS PAC ID: 8729074125 Enrollment ID: I20040422000499 |
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