Individual
JONATHAN E. ALFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101232397
VA
2085N0904X
Nuclear Radiology Physician
0101232397
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101232397
VA
2085R0202X
Diagnostic Radiology Physician
D0088043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101232397
LICENSE
VA
05
—
0101253161
—
VA
05
—
1812057000
—
WV
01
—
235084
AMERIGROUP
VA
01
—
2961917
AETNA HMO
VA
01
—
300129817
MEDICARE ID
DC
05
—
432300900
—
MD
01
—
7037382
AETNA
VA
01
—
P00238836
MEDICARE ID
VA
Enumeration date
07/10/2006
Last updated
03/07/2023
Update your record
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