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Contact Information

SIMON FISHMAN, MD
6355 WALKER LANE
313
ALEXANDRIA, VA22310
 Phone: 703-313-9111
 Fax: 703-313-4945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SIMON FISHMAN · (Male)

NPI # 1578654968
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 12/21/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101225797
  • VA Medicaid 010045479
  • DC Other J330 0001 CF BC BS DC
  • VA Other 3403215 AETNA HMO
  • VA Other 7099103 AETNA PPO
  • VA Other 2119441 ALLIANCE/ MAMSI
  • VA Other 267731 AMERIGROUP
  • VA Other 102355 ANTHEM
  • VA Other 518960 NCPPO
  • VA Other P00148017 RAILROAD MEDICARE
Hospital affiliation(s)
  • INOVA ALEXANDRIA HOSPITAL - (Acute Care)
    4320 SEMINARY RD
    ALEXANDRIA, VA 22304
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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