Organization
HEMATOLOGY ONCOLOGY ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY F SMITH JR. MD (PRESIDENT)
(703) 379-9111
Entity
Organization
Contact information
Practice address
5226 DAWES AVENUE, ALEXANDRIA, VA 22311
(703) 379-9111
(703) 931-7952
Mailing address
5226 DAWES AVENUE, ALEXANDRIA, VA 22311
(703) 379-9111
(703) 931-7952
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101018898
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BS
DC
01
—
017081
BSVA
VA
01
—
212333
MDSPA
—
01
—
281815
AMERIGROUP
VA
01
—
3600054
UNITED HEALTH CARE
—
01
—
3738
BS
DC
01
—
37380001
ALLIANCE CAPITAL CARE
—
01
—
6024262
MEDICAID UNICARE
—
05
—
6024262
—
VA
Enumeration date
06/05/2007
Last updated
08/22/2020
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