Individual
DR. ERNEST LEE MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 FAIR RIDGE DR, SUITE 320, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 295-9369
Mailing address
1139 E HIGH ST STE 203, CHARLOTTESVILLE, VA 22902-4855
(434) 817-8484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238028
VA
207L00000X
Anesthesiology Physician
232152-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066579
ANTHEM
VA
05
—
1356353411
—
VA
01
—
298098
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
9340524
PHCS
VA
01
—
K142-0001
CAREFIRST 2005
VA
Enumeration date
08/13/2006
Last updated
02/19/2020
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