Individual
KRZYSZTOF M BOCHENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
PO BOX 3650, MERRIFIELD, VA 22116-3650
(703) 698-4483
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101237519
VA
2085N0700X
Neuroradiology Physician
0101237519
VA
2085N0904X
Nuclear Radiology Physician
0101237519
VA
2085P0229X
Pediatric Radiology Physician
0101237519
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101237519
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101237519
VA
2085U0001X
Diagnostic Ultrasound Physician
0101237519
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085
CAREFIRST BCBS
VA
05
—
011373500
—
WV
01
—
251447
KAISER
VA
01
—
301577
AMERIGROUP
VA
05
—
3810003388
—
WV
Enumeration date
07/11/2006
Last updated
12/23/2019
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