Provider Demographics
NPI:1649427386
Name:PFEIFFER, MICHAEL H (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:PFEIFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6714 WHITTIER AVE
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4529
Mailing Address - Country:US
Mailing Address - Phone:703-356-1105
Mailing Address - Fax:703-356-0970
Practice Address - Street 1:8101 HINSON FARM RD STE 112
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3404
Practice Address - Country:US
Practice Address - Phone:703-799-0644
Practice Address - Fax:866-271-3513
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012442892084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1649427386Medicaid
VA1649427386Medicaid