Healthcare Provider Details

I. General information

NPI: 1700877305
Provider Name (Legal Business Name): AIPING SUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 S FREDERICK AVE SUITE 200
GAITHERSBURG MD
20877-1242
US

IV. Provider business mailing address

604 S FREDERICK AVE SUITE 200
GAITHERSBURG MD
20877-1242
US

V. Phone/Fax

Practice location:
  • Phone: 240-404-6423
  • Fax: 240-404-6426
Mailing address:
  • Phone: 240-404-6423
  • Fax: 240-404-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0061924
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: