Provider Demographics
NPI:1245240563
Name:MUNIS, RAIQA (MD)
Entity type:Individual
Prefix:DR
First Name:RAIQA
Middle Name:
Last Name:MUNIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2916
Mailing Address - Country:US
Mailing Address - Phone:703-395-7099
Mailing Address - Fax:703-277-3371
Practice Address - Street 1:10803 MAIN ST STE 800
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4728
Practice Address - Country:US
Practice Address - Phone:703-277-3346
Practice Address - Fax:703-277-3371
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056011207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110238972OtherMEDICARE RAILROAD
VA005866511Medicaid
110238972OtherMEDICARE RAILROAD
VAG51363Medicare UPIN