Provider Demographics
NPI:1902874514
Name:SPIRA, ALEXANDER I (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:I
Last Name:SPIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8697
Practice Address - Street 1:8613 LEE HWY # 200N
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2171
Practice Address - Country:US
Practice Address - Phone:032-083-1557
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234594207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0870-0016OtherBCBS NCA CARE FIRST
VA541795091OtherFIRST HEALTH
VA4928064002OtherCIGNA HMO
VA561003OtherNCPPO
VA386755OtherTRIGON/ANTHEM
VA4928064002OtherCIGNA POS/PPO
VA500617-3360654OtherAETNA HMO
VA541795091OtherTRICARE
VA316256-2107101OtherMAMSI/OP CHOICE.ALLIANCE
VA500617-7809414OtherAETNA PPO
VA541795091OtherPHCS PPO/POS
VA1902874514Medicaid
VA233765OtherKAISER
VAP00026570Medicare PIN
VA316256-2107101OtherMAMSI/OP CHOICE.ALLIANCE
VA500617-7809414OtherAETNA PPO
VA541795091OtherPHCS PPO/POS