Provider Demographics
NPI:1437253572
Name:NAVA, VICTOR EDUARDO (MD PHD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:EDUARDO
Last Name:NAVA
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 EXECUTIVE BLVD.
Mailing Address - Street 2:ROCKVILLE REGIONAL LAB
Mailing Address - City:ROCKVILLE,
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3911
Mailing Address - Country:US
Mailing Address - Phone:301-255-4000
Mailing Address - Fax:
Practice Address - Street 1:6111 EXECUTIVE BLVD
Practice Address - Street 2:REGIONAL LAB
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3911
Practice Address - Country:US
Practice Address - Phone:301-255-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035614207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology