Provider Demographics
NPI:1851491328
Name:SZOKE, PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:SZOKE
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 1:1419 CEDAR RD
Mailing Address - Street 2:STE 102
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7492
Mailing Address - Country:US
Mailing Address - Phone:757-842-6180
Mailing Address - Fax:
Practice Address - Street 1:1419 CEDAR RD
Practice Address - Street 2:STE 102
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7492
Practice Address - Country:US
Practice Address - Phone:757-842-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4414446OtherAETNA
VA887492OtherMAMSI
VA139728OtherTRIGON/ANTHEM BCBSVA
VA0000264076OtherHIGHMARK BCBS
VA11005OtherSENTARA/OPTIMA
VA287492OtherOPTIMUM CHOICE
VA010632OtherCIGNA
NC0566POtherBCBS NORTH CAROLINA
VA139728OtherTRIGON/ANTHEM BCBSVA
VA887492OtherMAMSI
VA$$$$$$$$$OtherTIN