Provider Demographics
NPI:1689661431
Name:EAPEN, ANNE ROSE NAVARRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE ROSE
Middle Name:NAVARRO
Last Name:EAPEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1860 TOWN CENTER DR STE 255
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5906
Mailing Address - Country:US
Mailing Address - Phone:703-707-0607
Mailing Address - Fax:703-707-0949
Practice Address - Street 1:1860 TOWN CENTER DR STE 255
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5906
Practice Address - Country:US
Practice Address - Phone:703-707-0607
Practice Address - Fax:703-707-0949
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2023-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA101045101207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA570451OtherCIGNA
VA570451OtherCIGNA
VAC67192Medicare UPIN