MEDICARE: ELIAS G DEMOZ 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	207R00000X	Internal Medicine Physician	0101235406	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	185607	OTHER		ANTHEM BCBS

General Provider Information

NPI Number	:	1518937473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS G DEMOZ MD

Provider Business Mailing Address
First Line	:	6521 ARLINGTON BLVD
Second Line	:	STE 410
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3009
Country	:	US
Telephone Number	:	703-532-4357
Fax Number	:	866-578-7925

Provider Business Practice Location Address
First Line	:	6521 ARLINGTON BLVD
Second Line	:	SUITE 410
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3016
Country	:	US
Telephone Number	:	703-532-4357
Fax Number	:	866-578-5925

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	04/24/2024

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Directions to “ ELIAS G DEMOZ MD” Practice Location

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