Provider Demographics
NPI:1265475792
Name:VOKAC, CHARLES WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIAM
Last Name:VOKAC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1400 JOHNSTON WILLIS DR
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4765
Practice Address - Country:US
Practice Address - Phone:804-379-8088
Practice Address - Fax:804-794-6067
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2020-09-17
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Provider Licenses
StateLicense IDTaxonomies
VA101222222208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540885859OtherFOCUS
VA1265475792Medicaid
VA540885859OtherCOMPMANAGEMENT
VA284334OtherANTHEM HEALTHKEEPERS
VA540885859OtherMULTIPLAN
VA2295960OtherAETNA HMO
VA23505OtherOPTIMA HEALTH
VA2138309OtherUNITED HEALTHCARE MAMSI
VA540885859OtherCIGNA
VA540885859OtherCORVEL
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherFIRST HEALTH/CCN
VA17715OtherSH CARENET
VA2300233OtherUNITED HEALTHCARE
VA259266OtherSOUTHERN HEALTH
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA006801927Medicaid
VA250010655OtherRAILROAD MEDICARE
VA006801927Medicaid
VA284334OtherANTHEM HEALTHKEEPERS
VA250000240Medicare PIN