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Individual
THREVIA WEST
Active
Individual
THREVIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
0101235519
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
300711
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010196558
—
VA
01
—
10001823
SENTARA
VI
01
—
10196558
VIRGINIA PREMIER
VA
01
—
1028259
CIGNA
VA
01
—
1153268
AETNA HMO
VA
01
—
1427548
MAMSI
VA
01
—
185232
ANTHEM
VA
05
—
2409395
—
LA
01
—
325437
SOUTHERN HEALTH
VA
01
—
4503577
AETNA PPO
VA
01
—
540793767
VHN
VA
01
—
540793767014
TRICARE
VA
01
—
5657179
FIRST HEALTH
VA
Enumeration date
07/20/2005
Last updated
03/17/2018
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