IOFFE, VLADIMIR (MD)

Provider Demographics

• NPI: 1700824794
• Name: IOFFE, VLADIMIR (MD)
• Entity Type: Individual
• First Name: VLADIMIR
• Last Name: IOFFE
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 2234 COLONIAL BLVD
• Mailing Address - Street 2: ATTN: PAYER CONTRACTING & RELATIONS
• Mailing Address - City: FORT MYERS
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33907-1412
• Mailing Address - Country: US
• Mailing Address - Phone: 239-931-7342
• Mailing Address - Fax: 239-931-7385
• Practice Address - Street 1: 7503 GREENWAY CENTER DR
• Practice Address - City: GREENBELT
• Practice Address - State: MD
• Practice Address - Zip Code: 20770-3508
• Practice Address - Country: US
• Practice Address - Phone: 301-446-3540
• Practice Address - Fax: 301-446-3543
• Is Sole Proprietor?: No
• Enumeration Date: 2006-06-03
• Last Update Date: 2013-03-27

Provider Licenses

State	License ID	Taxonomies
MD	D0063835	2085R0001X
DE	C1-0007945	2085R0001X
PA	MD445025	2085R0001X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0001X	Allopathic & Osteopathic Physicians	Radiology	Radiation Oncology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
DC	0007	Other	CAREFIRST BCBS
MD	01417951	Other	AMERIGROUP (PRINCE GEORGES)
MD	217025ZE8Y	Other	MEDICARE (PRINCE GEORGES)
MD	3537067000	Other	AMERIHEALTH PROVIDER #
MD	644416-01	Other	CAREFIRST BCBS REND. #
MD	6882-0007	Other	CAREFIRST BCBS
MD	7839775	Other	AETNA - PRINCE GEORGES
MD	P00946714	Other	RAILROAD MEDICARE - PRINCE GEORGES
MD	881027-01	Other	CARFIRST BCBS - PRINCE GEORGES
VA	010283574	Medicaid
MD	1142647	Other	AMERIGROUP
MD	7839775	Other	AETNA
DC	072097600	Medicaid
MD	7839775	Other	AETNA KATIN/BERLIN
MD	88855704	Other	CAREFIRST BCBS
MD	103542	Other	JOHN HOPKINS PROV. #
MD	410729200	Medicaid
MD	8871421	Other	CIGNA
MD	P01127674	Other	RAILROAD MCR- HARFORD
MD	191458YYP	Medicare PIN
MD	P00946714	Other	RAILROAD MEDICARE - PRINCE GEORGES
MD	I53775	Medicare UPIN
MD	410729200	Medicaid
MD	092NO008	Medicare PIN