Provider Demographics
NPI:1922013317
Name:ROYFE, MICHAEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:ROYFE
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 1:8403 RICHMOND HWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2424
Mailing Address - Country:US
Mailing Address - Phone:703-780-6269
Mailing Address - Fax:703-780-6481
Practice Address - Street 1:8403 RICHMOND HWY
Practice Address - Street 2:SUITE H
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2424
Practice Address - Country:US
Practice Address - Phone:703-780-6269
Practice Address - Fax:703-780-6481
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101047054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB37166Medicare UPIN
VA120286Medicare ID - Type Unspecified