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Individual

DR. DEVRA M SIROT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2038 JOHN ROLFE PKWY, RICHMOND, VA 23238-8111
(804) 288-7400
(804) 288-7460
Mailing address
9510 GAYTON RD, RICHMOND, VA 23229-5320
(804) 405-2277
(804) 288-7460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230936
VA
207Q00000X
Family Medicine Physician
10131R
LA
207R00000X
Internal Medicine Physician
032514
CT
207R00000X
Internal Medicine Physician
MD7707
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010067511
VA PREMIER PLAN
VA
05
010067979
VA
01
138520
BLUE CROSS BLUE SHIELD
VA
01
1464653
CIGNA
VA
01
239445
SOUTHERN HEALTH
VA
01
3470405
AETNA
VA
Enumeration date
02/12/2007
Last updated
06/10/2009
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