Provider Demographics
NPI:1972727402
Name:RINA ROY MDPC
Entity Type:Organization
Organization Name:RINA ROY MDPC
Other - Org Name:SUNRISE FAMILY MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-353-9191
Mailing Address - Street 1:9505 19TH AVE SE STE 101
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3840
Mailing Address - Country:US
Mailing Address - Phone:425-353-9191
Mailing Address - Fax:425-353-0015
Practice Address - Street 1:9505 19TH AVE SE
Practice Address - Street 2:100
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3853
Practice Address - Country:US
Practice Address - Phone:425-353-9191
Practice Address - Fax:425-353-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8801640Medicare PIN