Provider Demographics
NPI:1174541072
Name:DVORAK, JOSEF C (MD)
Entity type:Individual
Prefix:
First Name:JOSEF
Middle Name:C
Last Name:DVORAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3601
Mailing Address - Country:US
Mailing Address - Phone:703-528-6616
Mailing Address - Fax:703-522-8082
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:SUITE 350
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-528-6616
Practice Address - Fax:703-522-8082
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027708207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC2643OtherBCBS NTL CAPITOL AREA
VA0101027708OtherSTATE LICENSE
408-7911OtherAETNA
VA6080863Medicaid
VA005150OtherANTHEM
VA005150OtherANTHEM
VA0101027708OtherSTATE LICENSE
408-7911OtherAETNA