Provider Demographics
NPI:1285634436
Name:PRICE, MICHAEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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:703-916-0672
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:703-916-0672
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036169207R00000X
MDD29204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA224015OtherANTHEM/HEALTHKEEPERS
VA5325453-025OtherCIGNA HMO
VA0403504OtherUNITED HEALTH MID-ATLANTI
VA360389OtherONE HEALTH GREATWEST
VA4088373OtherAHP MGD CHOICE
VA110183356OtherRAILROAD MEDICARE
VA541908735OtherCCN
VA541908735OtherPHCS
VA0400437OtherUNITED HEALTH VIRGINIA
VA541908735OtherCHAMPUS/TRICARE/STD
VA723579OtherAFFORDABLE FIRST HEALTH
VA224015OtherTRIGON KEYAD
VA45560007OtherBCBS DC CAPCARE
VA505118OtherNCPPO
VA257639OtherMDIPA/OPTIMUM CHOICE/MAMS
VA461899OtherAETNA US/HEALTHCARE
VA541908735OtherPREFERRED PLAN
VA5819415Medicaid
VA45560007OtherBCBS DC CAPCARE
VA541908735OtherPHCS