Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEX DERTAD MANGUIKIAN, M.D., PH.D.
ActiveALEX DERTAD MANGUIKIAN, M.D., PH.D. is a Ophthalmology healthcare provider located in FAIRFAX, Virginia. NPI 1164657342 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · FAIRFAX, VA
Registration Details
- NPI Number
- 1164657342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2009 (17.223998475141 yrs)
- Last Updated
- Mar 19, 2013
- License
-
0101253390 (VA)
Practice Information
- Address
-
9936 MAIN STFAIRFAX, VA, 220313901Browse VA providers · Browse ZIP 22031
- Phone
- 7035914884
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. RANDALL VERNON WONG | M.D. | 1851397988 |
| DR. DAVID BENJAMIN SUMMER | M.D. | 1003814534 |
| DR. A. RAYMOND PILKERTON | M.D. | 1750355905 |
| DR. KEVIN R SCOTT | M.D. | 1962476713 |
| LINDA B DRESSLER | MD | 1801863071 |
| DANIEL M GELLER | MD | 1861460743 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.