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Individual
IVAN AKSENTIJEVICH
Active
Individual
IVAN AKSENTIJEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0101234651
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101234651
VA
207RX0202X
Medical Oncology Physician
0101234651
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08700018
BCBS NCA CARE FIRST
VA
05
—
1982672937
—
VA
01
—
2311042
UNITED HEALTHCARE
VA
01
—
316256-2107058
MAMSI/ OP CHOICE/ALLIANCE
VA
01
—
3212244
AETNA HMO
VA
01
—
386769
ANTHEM/TRIGON
VA
01
—
541795091
CHOICE CARE
VA
01
—
541795091-2067228
FIRST HEALTH
VA
01
—
560987
NCPPO
VA
01
—
6252107
CIGNA HMO/POS/PPO
VA
01
—
7501495
AETNA PPO
VA
Enumeration date
03/08/2006
Last updated
11/11/2025
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