Provider Demographics
NPI:1417251398
Name:MICHAEL A. ROYFE M D P C
Entity Type:Organization
Organization Name:MICHAEL A. ROYFE M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROYFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-780-6269
Mailing Address - Street 1:8403 RICHMOND HWY STE H
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2424
Mailing Address - Country:US
Mailing Address - Phone:703-780-6269
Mailing Address - Fax:703-780-6481
Practice Address - Street 1:8403 RICHMOND HWY STE H
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2424
Practice Address - Country:US
Practice Address - Phone:703-780-6269
Practice Address - Fax:703-780-6481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101047054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA120286Medicare PIN
VAB37166Medicare UPIN