Xenakis, Mark

Xenakis, Mark is an individual health care provider with primary practice located at 13572 Waterford Pl , Midlothian VA 23112-3928. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Xenakis, Mark can be contacted via phone (804) 560-8782.

Contact Information

Primary practice address
13572 Waterford Pl Midlothian VA 23112-3928
Phone: (804) 560-8782
Fax: (804) 288-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101234821 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101234821 Virginia
Other Service Providers / Specialist 174400000X 0101234821 Virginia

Profile Details

NPI number 1477586972
LBN Legal business name Xenakis, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated May 1st, 2024 - about 4 months 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 1477586972 NPPES
Virginia Other 2108911 UNITED HEALTHCARE
Virginia Other 3236966 UNITED HEALTHCARE
Virginia MEDICAID 010028302 UNITED HEALTHCARE
Virginia Other 8689624 UNITED HEALTHCARE
Virginia Other P00084989 UNITED HEALTHCARE

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