Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0102201221 | VA |
N | 111NI0900X | Internist | 0102201221 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 2011-00565 | NC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 0102201221 | VA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 3035 | WV |
NPI | 1184841470 |
---|---|
Provider Name | Dr. Daniel V Alexander |
First Address | Winchester, VA 22601-2896 |
Second Address | Winchester, VA 22601-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 14/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2011-00565 | NC LICENSE (01) | NC |
FA2535790 | DEA NUMBER (01) | NC |