Individual
IVAN AKSENTIJEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE STE 1018, ALEXANDRIA, VA 22304-1306
(571) 483-1800
(703) 823-5723
Mailing address
3040 WILLIAMS DR, SUITE 100, FAIRFAX, VA 22031-4618
(703) 208-3963
(703) 205-6284
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0101234651
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101234651
VA
207RX0202X
Medical Oncology Physician
0101234651
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08700018
BCBS NCA CARE FIRST
VA
05
—
1982672937
—
VA
01
—
2311042
UNITED HEALTHCARE
VA
01
—
316256-2107058
MAMSI/ OP CHOICE/ALLIANCE
VA
01
—
3212244
AETNA HMO
VA
01
—
386769
ANTHEM/TRIGON
VA
01
—
541795091
CHOICE CARE
VA
01
—
541795091-2067228
FIRST HEALTH
VA
01
—
560987
NCPPO
VA
01
—
6252107
CIGNA HMO/POS/PPO
VA
01
—
7501495
AETNA PPO
VA
Enumeration date
03/08/2006
Last updated
11/11/2025
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