Provider Demographics
NPI:1710199344
Name:DO, ANNIE T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:T
Last Name:DO
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 1:7202 ARLINGTON BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1860
Mailing Address - Country:US
Mailing Address - Phone:703-573-2971
Mailing Address - Fax:703-573-2936
Practice Address - Street 1:7202 ARLINGTON BLVD STE 308
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1860
Practice Address - Country:US
Practice Address - Phone:703-573-2971
Practice Address - Fax:703-573-2936
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118445207V00000X
VA0101242399207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA015814M03Medicare PIN
VAP00478251Medicare PIN