Provider Demographics
NPI:1952782286
Name:PASCIONI, ALEXA SHAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:SHAY
Last Name:PASCIONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXA
Other - Middle Name:SHAY
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:880 KEMPSVILLE RD
Mailing Address - Street 2:STE 2200
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3990
Mailing Address - Country:US
Mailing Address - Phone:757-466-6350
Mailing Address - Fax:757-466-9262
Practice Address - Street 1:165 CANNON ST
Practice Address - Street 2:#503
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-7901
Practice Address - Country:US
Practice Address - Phone:843-792-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101267023207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology