Provider Demographics
NPI:1568421568
Name:ROZAKI SISMANIS, ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ROZAKI SISMANIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8919 THREE CHOPT RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4659
Mailing Address - Country:US
Mailing Address - Phone:804-346-1720
Mailing Address - Fax:804-346-1702
Practice Address - Street 1:8919 THREE CHOPT RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4659
Practice Address - Country:US
Practice Address - Phone:804-346-1720
Practice Address - Fax:804-346-1712
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032710207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA342851OtherANTHEM BCBS
VAP00609502OtherRR MEDICARE
VA1568421568Medicaid
VA342851OtherANTHEM BCBS