Individual
DR. ANA H. VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-003
TRICARE/CHAMPUS
VA
01
—
11108
OPTIMA HEALTH
VA
01
—
1982670246
FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
VA
05
—
1982670246
—
VA
01
—
449710
ANTHEM BC/BS
VA
05
—
5919332
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
02/27/2006
Last updated
09/04/2012
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