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Individual

DR. MARK XENAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13572 WATERFORD PL, MIDLOTHIAN, VA 23112-3928
(804) 560-8782
(804) 288-6591
Mailing address
13572 WATERFORD PL, MIDLOTHIAN, VA 23112-3928
(804) 560-8782
(804) 288-6591

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101234821
VA
207RC0000X
Cardiovascular Disease Physician
0101234821
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101234821
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010028302
VA
01
2108911
UNITED HEALTHCARE
VA
01
3236966
AETNA
VA
01
8689624
CIGNA
VA
01
P00084989
RAILROAD MEDICARE
VA
Enumeration date
07/08/2006
Last updated
03/10/2025
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