Individual
DR. KAADZE M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 295-9360
(703) 295-9369
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101234569
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053417543
—
VA
01
—
137167
ANTHEM
VA
01
—
249159
KAISER
VA
01
—
298107
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
2005 CARE FIRST
VA
01
—
P00132283
RAILROAD MEDICARE
VA
Enumeration date
09/15/2006
Last updated
03/16/2015
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