Healthcare Provider Details
I. General information
NPI: 1457430571
Provider Name (Legal Business Name): DAVID JEFFREY MARKOWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6714 PATTERSON AVE SUITE 103
RICHMOND VA
23226-3432
US
IV. Provider business mailing address
6714 PATTERSON AVENUE SUITE 103
RICHMOND VA
23226
US
V. Phone/Fax
- Phone: 804-285-8500
- Fax: 804-282-8029
- Phone: 804-285-8500
- Fax: 804-282-8029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 0101040953 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 0101040953 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: