| Sunstone Medical Pc | |
|
9905 Medical Center Dr Ste 350 Rockville MD 20850-6533 | |
| (301) 750-3401 | |
| Not Available |
| Full Name | Sunstone Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9905 Medical Center Dr Ste 350, Rockville, Maryland |
| Authorized Official Name and Position | Celia Leeks (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3017503401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstone Medical Pc 9905 Medical Center Dr Ste 350 Rockville MD 20850-6533 Ph: (301) 750-3401 | Sunstone Medical Pc 9905 Medical Center Dr Ste 350 Rockville MD 20850-6533 Ph: (301) 750-3401 |
| NPI Number | 1548915218 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 8123407806 |
|---|---|
| Medicare Enrollment ID | O20220627002304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548915218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Paul Mookencherry Thambi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952482655 PECOS PAC ID: 4183612252 Enrollment ID: I20040505001565 |
| Provider Name | Manish Agrawal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275614984 PECOS PAC ID: 8325012560 Enrollment ID: I20040823001405 |
| Provider Name | Brian D Richards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861430910 PECOS PAC ID: 2668404427 Enrollment ID: I20050906000161 |
| Provider Name | Jessica Marie Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528657764 PECOS PAC ID: 1254710932 Enrollment ID: I20220627002629 |
| Provider Name | Mark J Bates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679663124 PECOS PAC ID: 8820461080 Enrollment ID: I20230309000094 |
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