Provider Demographics
NPI:1003969213
Name:ROCHMIS, PAUL G (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:G
Last Name:ROCHMIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3027 JAVIER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4607
Mailing Address - Country:US
Mailing Address - Phone:703-573-2220
Mailing Address - Fax:703-573-7767
Practice Address - Street 1:3027 JAVIER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4607
Practice Address - Country:US
Practice Address - Phone:703-573-2220
Practice Address - Fax:703-573-7767
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101020441207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540987728OtherCIGNA
VA540987728OtherALLIANCE
VA069434OtherANTHEM
VA540987728OtherMAMSI
VA3824038OtherUS DEPT OF LABOR
VAB109OtherCAREFIRST
VA001746526OtherUNITEDHEALTHCARE
VA2114892OtherAETNA PPO
VA068510Medicare ID - Type Unspecified
VA069434OtherANTHEM