Individual
KARA E SIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15195 HEATHCOTE BLVD STE 140, HAYMARKET, VA 20169-6243
(571) 284-4370
(571) 284-4387
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265684
VA
207Q00000X
Family Medicine Physician
26906
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003399738
BCBS
WV
05
—
1740625557
—
WV
01
—
WV6609A
MEDICARE PTAN
WV
Enumeration date
05/07/2013
Last updated
11/08/2023
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