Aksentijevich, Ivan
Aksentijevich, Ivan is an individual health care provider with primary practice located at 4660 Kenmore Ave Ste 1018 , Alexandria VA 22304-1306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Aksentijevich, Ivan can be contacted via phone (571) 483-1800.Contact Information
Primary practice address
4660 Kenmore Ave Ste 1018
Alexandria VA 22304-1306
Phone: (571) 483-1800
Fax: (703) 823-5723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 0101234651 | Virginia |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 0101234651 | Virginia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101234651 | Virginia |
Profile Details
| NPI number | 1982672937 |
|---|---|
| LBN Legal business name | Aksentijevich, Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Nov 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982672937 | NPPES |
| Virginia | MEDICAID | 1982672937 | |
| Virginia | Other | 7501495 | |
| Virginia | Other | 316256-2107058 | |
| Virginia | Other | 541795091 | |
| Virginia | Other | 541795091 | |
| Virginia | Other | 386769 | |
| Virginia | Other | 560987 | |
| Virginia | Other | 541795091 | |
| Virginia | Other | 08700018 | |
| Virginia | Other | 2311042 | |
| Virginia | Other | 541795091 | |
| Virginia | Other | 3212244 | |
| Virginia | Other | 541795091-2067228 | |
| Virginia | Other | 6252107 |
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