Provider Demographics
NPI:1689665457
Name:FIKE, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:FIKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8600 WOODLAND HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2248
Mailing Address - Country:US
Mailing Address - Phone:703-704-5259
Mailing Address - Fax:
Practice Address - Street 1:3500 FETCHET AVE
Practice Address - Street 2:
Practice Address - City:ANDREWS AFB
Practice Address - State:MD
Practice Address - Zip Code:20762-5157
Practice Address - Country:US
Practice Address - Phone:301-836-8536
Practice Address - Fax:301-836-7446
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042949L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine