Provider Demographics
NPI:1922282771
Name:SINCLAIR, REBECCA OGUR (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:OGUR
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12146 DARNLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192
Mailing Address - Country:US
Mailing Address - Phone:703-819-9243
Mailing Address - Fax:
Practice Address - Street 1:14806 BLACKBURN RD
Practice Address - Street 2:STREET LIGHT COMMUNITY OUTREACH MINISTRIES
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-491-2288
Practice Address - Fax:703-491-2272
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VAVA0101236634207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine