Provider Demographics
NPI:1518283464
Name:HILL, DOUGLAS ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ALEXANDER
Last Name:HILL
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 1:7911 WESTPARK DR
Mailing Address - Street 2:APT 2515
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4214
Mailing Address - Country:US
Mailing Address - Phone:509-951-0436
Mailing Address - Fax:
Practice Address - Street 1:7911 WESTPARK DR
Practice Address - Street 2:APT 2515
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4214
Practice Address - Country:US
Practice Address - Phone:509-951-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101260356207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease