Aksentijevich, Ivan

Aksentijevich, Ivan is an individual health care provider with primary practice located at 4660 Kenmore Ave Ste 1018 , Alexandria VA 22304-1306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Aksentijevich, Ivan can be contacted via phone (571) 483-1800.

Contact Information

Primary practice address
4660 Kenmore Ave Ste 1018 Alexandria VA 22304-1306
Phone: (571) 483-1800
Fax: (703) 823-5723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101234651 Virginia

Profile Details

NPI number 1982672937
LBN Legal business name Aksentijevich, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982672937 NPPES
Virginia MEDICAID 1982672937
Virginia Other 7501495
Virginia Other 316256-2107058
Virginia Other 541795091
Virginia Other 541795091
Virginia Other 386769
Virginia Other 560987
Virginia Other 541795091
Virginia Other 08700018
Virginia Other 2311042
Virginia Other 541795091
Virginia Other 3212244
Virginia Other 541795091-2067228
Virginia Other 6252107

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