Healthcare Provider Details

I. General information

NPI: 1104909605
Provider Name (Legal Business Name): SIDNEY KUMAR SUNEJA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 OSAGE LN
BETHESDA MD
20817-4405
US

IV. Provider business mailing address

8215 OSAGE LN
BETHESDA MD
20817-4405
US

V. Phone/Fax

Practice location:
  • Phone: 301-229-3562
  • Fax:
Mailing address:
  • Phone: 301-229-3562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMD12216
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberD24815
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMD06798R
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number0101047688
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMD064853L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD24815
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD12216
License Number StateDC
# 8
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101047688
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD064853L
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD06798R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: