Provider Demographics
NPI:1023217726
Name:NORBY, ERIC H (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:H
Last Name:NORBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3289 WOODBURN RD
Mailing Address - Street 2:SUITE 060
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6800
Mailing Address - Country:US
Mailing Address - Phone:703-698-5171
Mailing Address - Fax:
Practice Address - Street 1:3289 WOODBURN RD
Practice Address - Street 2:SUITE 060
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6800
Practice Address - Country:US
Practice Address - Phone:703-698-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041611207U00000X
MDD0035949207U00000X
DCBN1451397207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006650147Medicaid
DC036364400Medicaid
DCE40798Medicare UPIN
VA006650147Medicaid