Organization
NORTHERN VIRGINIA CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DOKU (BILLING MANAGER)
(703) 573-2360
Entity
Organization
Contact information
Practice address
8505 ARLINGTON BLVD, SUITE 200, FAIRFAX, VA 22031-4621
(703) 573-2360
Mailing address
8505 ARLINGTON BLVD, SUITE 200, FAIRFAX, VA 22031-4621
(703) 573-2360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0011524230
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002993
ANTHEM BCBS/TRIGON
—
01
—
59049
AETNA HMO
—
01
—
6975
CAREFIRST BCBS
—
01
—
8562288
AETNA PPO
—
Enumeration date
07/06/2005
Last updated
04/20/2008
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