Individual
DR. EMAD M BOTROS
Active
Individual
DR. EMAD M BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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