Provider Demographics
NPI:1952426488
Name:ARIKAT, SUNNY OUSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:OUSEPH
Last Name:ARIKAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARIKAT
Other - Middle Name:OUSEPH
Other - Last Name:SUNNY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1900 ELECTRIC RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7474
Mailing Address - Country:US
Mailing Address - Phone:540-776-4000
Mailing Address - Fax:
Practice Address - Street 1:1900 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7474
Practice Address - Country:US
Practice Address - Phone:540-776-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012792172080N0001X
OH35. 0890942080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA72078OtherWELLMARK BCBS
I72447Medicare UPIN
IAI19954Medicare PIN