Healthcare Provider Details

I. General information

NPI: 1780482380
Provider Name (Legal Business Name): MEAGHAN ALVERMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEAGHAN RAAB

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US

IV. Provider business mailing address

3043 BRAXTON WOOD CT
FAIRFAX VA
22031-1337
US

V. Phone/Fax

Practice location:
  • Phone: 571-231-1803
  • Fax:
Mailing address:
  • Phone: 781-264-2307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0116040515
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: