Provider Demographics
NPI:1205929114
Name:DUBIT, SCOTT BRIAN (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:BRIAN
Last Name:DUBIT
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 1:650 N LEE HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-3759
Mailing Address - Country:US
Mailing Address - Phone:540-463-0951
Mailing Address - Fax:540-463-0954
Practice Address - Street 1:650 N. LEE HIGHWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450
Practice Address - Country:US
Practice Address - Phone:540-463-0951
Practice Address - Fax:540-463-0954
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6701621Medicaid
VA370000572Medicare ID - Type Unspecified
VA6701621Medicaid