Individual
DR. DAVID S MEZEBISH
Active
Individual
DR. DAVID S MEZEBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
0101232840
VA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
D0043824
MD
207ND0900X
Dermatopathology Physician
0101232840
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101232840
VA
207NS0135X
Procedural Dermatology Physician
0101232840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE CROSS BLUE SHIELD FEDERAL
MD
01
—
001734127
MTST BCBS
WV
05
—
010165156
—
VA
01
—
180145
ANTHEM BLUE CROSS BLUE SHIELD OF VIRGINIA
VA
05
—
3810002827
—
WV
01
—
61854810
CAREFIRST BLUE CROSS BLUE SHIELD
MD
01
—
P00252754
RR MEDICARE
VA
Enumeration date
01/28/2006
Last updated
01/25/2023
Update your record
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