Provider Demographics
NPI:1902896137
Name:PAPAS, ALEXANDER JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JOHN
Last Name:PAPAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14904 JEFFERSON DAVIS HWY
Mailing Address - Street 2:STE 302
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3908
Mailing Address - Country:US
Mailing Address - Phone:703-494-6627
Mailing Address - Fax:703-494-6627
Practice Address - Street 1:14904 JEFFERSON DAVIS HWY
Practice Address - Street 2:STE 302
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3908
Practice Address - Country:US
Practice Address - Phone:703-494-6627
Practice Address - Fax:703-494-6627
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4089189OtherAETNA
VA6064540Medicaid
816546OtherMAMSI
005856OtherANTHEM BCBS
4582OtherCARE FIRST BCBS
00341OtherUNITED HEALTH CARE
316546OtherMAMSI
580605OtherAETNA
816546OtherALLIANCE PPO
D73328Medicare UPIN