Healthcare Provider Details

I. General information

NPI: 1982690194
Provider Name (Legal Business Name): JOHN SILVIUS CIURASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 03/30/2006

III. Provider practice location address

12801 IRON BRIDGE RD SUITE 300
CHESTER VA
23831-1669
US

IV. Provider business mailing address

12801 IRON BRIDGE RD SUITE 300
CHESTER VA
23831-1669
US

V. Phone/Fax

Practice location:
  • Phone: 804-777-9908
  • Fax: 804-777-9056
Mailing address:
  • Phone: 804-777-9908
  • Fax: 804-777-9056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101050490
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: