Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL IRA BURKEN, MD
Active Sole ProprietorMITCHELL IRA BURKEN, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in FREDERICKSBURG, Virginia. NPI 1407402506 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · FREDERICKSBURG, VA
Registration Details
- NPI Number
- 1407402506
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2019 (7.0211546308332 yrs)
- Last Updated
- May 22, 2024
- Licenses
-
0101282544 (VA)D0031869 (MD)D0031869 (MD)0101282544 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11720 MAIN ST STE 108FREDERICKSBURG, VA, 224087368Browse VA providers · Browse ZIP 22408
- Phone
- 5407359350
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
- Additional Specialty
- Clinical Pathology/Laboratory Medicine
- Additional Specialty
- Addiction Medicine (Internal Medicine)
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.