Individual
ALEXANDRA KAZAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3022 WILLIAMS DR, SUITE 101, FAIRFAX, VA 22031-4600
(703) 573-5252
(703) 573-5254
Mailing address
3022 WILLIAMS DR, SUITE 101, FAIRFAX, VA 22031-4600
(703) 573-5252
(703) 573-5254
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101040814
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B274
BCBS
VA
Enumeration date
09/28/2006
Last updated
06/02/2008
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