Provider Demographics
NPI:1609884063
Name:GURIAN, JOSEF (MD)
Entity Type:Individual
Prefix:
First Name:JOSEF
Middle Name:
Last Name:GURIAN
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 1:8314 TRAFORD LN
Mailing Address - Street 2:C
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1651
Mailing Address - Country:US
Mailing Address - Phone:703-644-7804
Mailing Address - Fax:703-644-1508
Practice Address - Street 1:8314 TRAFORD LN
Practice Address - Street 2:STE C
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1661
Practice Address - Country:US
Practice Address - Phone:703-644-7800
Practice Address - Fax:703-644-1508
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053060207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA786820E45Medicare PIN
VAF45266Medicare UPIN
VA040000389Medicare PIN
VA1609884063Medicare PIN