MEDICARE: MICHAEL A OKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101040710	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080070087	OTHER		MEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	076827	OTHER	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275515835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A OKIN MD

Provider Business Mailing Address
First Line	:	2019 TATE SPRINGS RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24501-1111
Country	:	US
Telephone Number	:	434-846-7374
Fax Number	:	434-846-1910

Provider Business Practice Location Address
First Line	:	2019 TATE SPRINGS RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24501-1111
Country	:	US
Telephone Number	:	434-846-7374
Fax Number	:	434-846-1910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/07/2015

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Directions to “ MICHAEL A OKIN MD” Practice Location

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