Provider Demographics
NPI:1225038110
Name:CURRALL, VICTORIA REGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:REGINA
Last Name:CURRALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 ALMA LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-4012
Mailing Address - Country:US
Mailing Address - Phone:703-642-5990
Mailing Address - Fax:703-642-5003
Practice Address - Street 1:5510 ALMA LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-4012
Practice Address - Country:US
Practice Address - Phone:703-642-5990
Practice Address - Fax:703-642-5003
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101224917207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA103749OtherANTHEM HEALTHKEEPERS
VA103749OtherTRIGON KEYAD
VA2409821OtherUNITED HEALTH MID-ATLANTI
VA3344718OtherAETNA/US HEALTHCARE
VA10100348Medicaid
VA632858OtherNCPPO
VA7446070OtherCIGNA HMO
VA2121013OtherMDIPA/OPTIMUM CHOICE/MAMS
VA2409821OtherUNITED HEALTH VIRGINIA
VA45560015OtherBCBS DC CAPCARE
VA7925460OtherAHP MGD CHOICE
VAP00173018OtherRAILROAD MEDICARE
VA3344718OtherAETNA/US HEALTHCARE
VA103749OtherANTHEM HEALTHKEEPERS