MEDICARE: DR. OLGA POVCHER 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	208800000X	Urology Physician	63494	MN
2	208800000X	Urology Physician	0101266322	VA

General Provider Information

NPI Number	:	1588924096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLGA POVCHER MD

Provider Business Mailing Address
First Line	:	1625 N GEORGE MASON DR STE 454
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3684
Country	:	US
Telephone Number	:	703-717-4200
Fax Number	:	703-717-4201

Provider Business Practice Location Address
First Line	:	1625 N GEORGE MASON DR STE 454
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3684
Country	:	US
Telephone Number	:	703-717-4200
Fax Number	:	703-717-4201

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

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	02/07/2021

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Directions to “ DR. OLGA POVCHER MD” Practice Location

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