Individual
DR. EMAD M BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Mailing address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101232257
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019532
—
VA
05
—
1810068000
—
WV
01
—
2119569
MAMSI
VA
01
—
226151
SOUTHERN HEALTH
VA
05
—
403138500
—
MD
01
—
466395
ANTHEM BCBS
VA
01
—
617226
NCPPO
VA
01
—
72594
COMMUNITYHEALTH SENTARA
VA
Enumeration date
06/20/2005
Last updated
03/05/2021
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