Provider Demographics
NPI:1518096577
Name:ISAACS, ROSS B (MD)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:B
Last Name:ISAACS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:310 AVON ST
Mailing Address - Street 2:STE 9
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5750
Mailing Address - Country:US
Mailing Address - Phone:434-581-3271
Mailing Address - Fax:434-581-1105
Practice Address - Street 1:310 AVON ST STE 9
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5750
Practice Address - Country:US
Practice Address - Phone:434-581-3271
Practice Address - Fax:434-581-1105
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2022-03-28
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Provider Licenses
StateLicense IDTaxonomies
VA0101050154207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006005004Medicaid
VAF71701Medicare UPIN
VA006005004Medicaid