Healthcare Provider Details

I. General information

NPI: 1649227521
Provider Name (Legal Business Name): SUMI SEXTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N GLEBE RD STE 300
ARLINGTON VA
22203-3728
US

IV. Provider business mailing address

1822 N ODE ST
ARLINGTON VA
22209-1410
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-1300
  • Fax: 703-243-1151
Mailing address:
  • Phone: 703-527-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101222193
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: