Provider Demographics
NPI:1508959636
Name:CUNNION, ROBERT EMMETT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EMMETT
Last Name:CUNNION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 HAMAKER CT
Mailing Address - Street 2:#500
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-289-1207
Mailing Address - Fax:703-289-1224
Practice Address - Street 1:3020 HAMAKER CT
Practice Address - Street 2:#500
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-289-1207
Practice Address - Fax:703-289-1224
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101057224207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010033918Medicaid
VAG00371OtherMEDICARE GROUP
000V24V71Medicare PIN