Provider Demographics
NPI:1538401567
Name:DUBOVOY, VERA (MD)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:DUBOVOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 STARLING DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5531
Mailing Address - Country:US
Mailing Address - Phone:757-603-3034
Mailing Address - Fax:945-202-3663
Practice Address - Street 1:1404 STARLING DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5531
Practice Address - Country:US
Practice Address - Phone:757-603-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3613207V00000X
TXBP1-0054982390200000X
VA0101274124207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program