Provider Demographics
NPI:1083877898
Name:BOVBEL, ALEXANDRA ALEKSEEVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:ALEKSEEVNA
Last Name:BOVBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5614 33RD ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1540
Mailing Address - Country:US
Mailing Address - Phone:571-224-2832
Mailing Address - Fax:
Practice Address - Street 1:1150 VARNUM ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2104
Practice Address - Country:US
Practice Address - Phone:202-852-7254
Practice Address - Fax:202-854-7926
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252270207ZP0102X
DCMD042690207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology