Provider Demographics
NPI:1366496762
Name:APPIAH, VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:APPIAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W JUBAL EARLY DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6507
Mailing Address - Country:US
Mailing Address - Phone:540-667-2100
Mailing Address - Fax:540-667-2577
Practice Address - Street 1:500 W JUBAL EARLY DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6507
Practice Address - Country:US
Practice Address - Phone:540-667-2100
Practice Address - Fax:540-667-2577
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235209207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010111706Medicaid
VA010111706Medicaid
VA109249Medicare UPIN