Provider Demographics
NPI:1508835067
Name:MARAN, JEY A (MD)
Entity Type:Individual
Prefix:
First Name:JEY
Middle Name:A
Last Name:MARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JEYARAMAN
Other - Middle Name:
Other - Last Name:ARULTHURIMARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3040 WILLIAMS DR
Mailing Address - Street 2:STE 100
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-222-2200
Mailing Address - Fax:571-222-2202
Practice Address - Street 1:7901 LAKE MANASSAS DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3257
Practice Address - Country:US
Practice Address - Phone:571-222-2200
Practice Address - Fax:571-222-2202
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054703207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0229537OtherCIGNA HMO
VA5405461OtherAETNA PPO
VA0870-0026OtherBCBS NCA/CARE FIRST
VA198214OtherANTHEM
VA199757OtherANTHEM
VA2156917OtherMDIPA/OP CHOICE
VA307621OtherAMERIGROUP
VA0229537OtherCIGNA PPO/POS
VA541795091OtherFIRST HEALTH
VA750677OtherNCPPO
VA1508835067Medicaid
VA541795091OtherHEALTHNET/TRICARE
VA1335124OtherAETNA HMO
VA261874OtherKAISER
VA541795091OtherPHCS
VA198214OtherANTHEM
VA2156917OtherMDIPA/OP CHOICE
VA261874OtherKAISER
VA541795091OtherPHCS