Provider Demographics
NPI:1487687927
Name:POROPATICH, CARY O (MD)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:O
Last Name:POROPATICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7308
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-0308
Mailing Address - Country:US
Mailing Address - Phone:800-292-1387
Mailing Address - Fax:502-456-4440
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:703-558-6541
Practice Address - Fax:502-456-4440
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-042608207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16699OtherGEORGE WASHINGTON UNIV
VA290212OtherANTHEM BLUE CROSS BS
506847OtherNATIONAL CAPITAL PPO
VA006601804Medicaid
339537OtherOPTIMUM CHOICE
220017499OtherRAILROAD MEDICARE
MD771701600Medicaid
11-00208OtherUNITED HEALTHCARE
DC92-246-5316OtherWORKERS COMP DC
1305167OtherUNITED MINE WORKERS
490050CE83707OtherSECTION 1011 MEDICARE
DC033009300Medicaid
DC1022-0003OtherCAREFIRST BLUE CROSS BS
339537OtherMAMSI
339537OtherMDIPA
490050CE83707OtherSECTION 1011 MEDICARE
VA006601804Medicaid