Provider Demographics
NPI:1164415964
Name:ZURAVLEFF, JEFFREY J (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:J
Last Name:ZURAVLEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1630 WILKES RIDGE PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7429
Mailing Address - Country:US
Mailing Address - Phone:804-934-9344
Mailing Address - Fax:804-934-9034
Practice Address - Street 1:1630 WILKES RIDGE PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7429
Practice Address - Country:US
Practice Address - Phone:804-934-9344
Practice Address - Fax:804-934-9034
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046909207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6360092Medicaid
VA180000420Medicare ID - Type Unspecified
VA6360092Medicaid