Edmond, Sura U

Edmond, Sura U is an individual health care provider with primary practice located at 4379 Ridgewood Center Dr Ste 102, Woodbridge VA 22192-8322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Edmond, Sura U can be contacted via phone (703) 680-7950.

Contact Information

Primary practice address
4379 Ridgewood Center Dr Ste 102 Woodbridge VA 22192-8322
Phone: (703) 680-7950
Fax: (703) 680-7953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0082246 Maryland

Profile Details

NPI number 1154522688
LBN Legal business name Edmond, Sura U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Sep 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154522688 NPPES
Virginia MEDICAID 1154522688
Virginia Other C06778

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